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Politics and profession in
promoting and protecting
health : who is doing what ?
Professor John Middleton
President, UK Faculty of Public Health
UK Faculty of Public Health
Advocacy
Standards
Knowledge
Workforce
For public health specialist workforce
Student members,
Trainee members
Associate members
International members
New category for practitioner members
www.fph.org.uk
Health, hygiene
and councils …
Salus populi
suprema lex
esto
Cicero
Oxford Public Health Training conference
Where there is no vision
the people suffer
Andrija Stampar,
Yugoslavian Public health pioneer and WHO
founding father
After Proverbs/29-18.
William Beveridge designed
a welfare state for the UK in
the deepest point of the
Second World War.
‘We should regard want,
idleness , ignorance,
squalor and disease as
enemies of us all. That is
the meaning of a social
conscience; that we refuse
to make our separate
peace with evil.’
If the policy is wrong,
money will not make it
right; and if the policy is
right, money may not in
fact, present an unduly
difficult problem.
EF Schumacher, Small is
Beautiful, p 162
“ Medicine is a social science
and politics is nothing else
but medicine on a large scale.
“Medicine as a social science, as the
science of human beings, has the
obligation to point out problems and
to attempt their theoretical solution;
the politician, the practical
anthropologist, must find the means
for their actual solution”
Rudolf Virchow
it's not who
your doctor
is, it's who
you vote for,
that most
affects your
health
The role of politician in improving
and protect public health
Global governance for good health
Sustainable Development Goals
‘Protecting resources
from one generation
to the next’
The Welsh
Wellbeing of
Future
Generations Act,
2015
Health through peace: a progressive
health movement
Health is global
‘You cannot have healthy people on a
sick planet’
Health through peace: a progressive
health movement
Health is interconnected- with
environment, economy,
education…..’security’
Inclusive growth or degrowth
A role for our climate
change special interest
group
Interconnectness
:
Climate change
refugees
Public health and the EU post Brexit
A country fit to live in… where
 Britain can power itself ? and
 House itself ? and
 Employ itself ?
http://www.campaigncc.org/sites/data/files/Docs/
one_million_climate_jobs_2014.pdf
Thinking globally,
acting locally:
Coventry and
Warwickshire
University
Hospitals Jubilee
Nature Reserve –
managing water
run off from
hospital car parks
- promoting
biodiversity, saving
money
Thinking globally, acting locally:
‘Saving lives with Solar’, Royal
North Midlands Hospitals, Stoke
The new Midland Metropolitan hospital
Opening 2018 – corporate citizenship offers of construction employment, low carbon
footprint, local health service employment , key worker housing and relocation of
services to community
The role of politician in improving and protecting
the public’s health:
Setting healthy public policy
Measuring the health impact of all policies
1001 critical days
Personal health and social
relationships education, PHSE in all
schools
2 hours physical activity per week
reinstated
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
A living wage
Reaffirm commitment to universal
health care system free at the point of
need funded through general taxation
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
http://www.bmj
.com/content/3
57/bmj.j2676
These 10 Corporations Control Almost Everything We Buy
Industrial Corporations prioritise PROFIT, not public health
Burden of disease attributable to 20 leading risk factors in 2010
expressed as a percentage of global disability-adjusted life-years
Global Burden of Disease Group. www.thelancet.com 2012 380 2245
Diet ≈ 40%
President gets cross on Childhood
obesity strategy- August 2016
The role of politician in improving and protecting
the public’s health:
Do the right thing
Preparedness and
safeguarding - key functions
of public health
Thank you
Professor John Middleton
President@fph.org.uk
• Middleton J, ISIS, crop failure and no anti-biotics: what training will we
need for future public health? European J Public Health 2016;
https://eurpub.oxfordjournals.org/content/26/5/735
• Middleton J, Weiss M. Still holding on: public health in the UK after
Brexit. Euroheathnet journal 2016; 22:no 4: 33-35. (ISSN 1356–1030)
http://www.euro.who.int/__data/assets/pdf_file/0010/325945/Euroh
ealth-V22-N4-2016.pdf?ua=1
• Middleton J. Public health in England in 2016—the health of the public
and the public health system: a review Br Med Bull (2017) 1-16. DOI:
https://doi.org/10.1093/bmb/ldw054 and
http://academic.oup.com//bmb/article/doi/10.1093/bmb/ldw054/2871
226/Public-health-in-England-in-2016the-health-of-
the?guestAccessKey=8f7a33a1-bdbf-4db4-948c-fd6b6293a259
• Middleton J, Saunders P. 20 years of local ecological public health: the
experience of Sandwell in the English West Midlands
http://www.sciencedirect.com/science/article/pii/S0033350615003303

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Politics and profession in promoting and protecting health : who is doing what ? Part 2

  • 1. Politics and profession in promoting and protecting health : who is doing what ? Professor John Middleton President, UK Faculty of Public Health
  • 2. UK Faculty of Public Health Advocacy Standards Knowledge Workforce For public health specialist workforce Student members, Trainee members Associate members International members New category for practitioner members www.fph.org.uk
  • 4. Salus populi suprema lex esto Cicero Oxford Public Health Training conference
  • 5. Where there is no vision the people suffer Andrija Stampar, Yugoslavian Public health pioneer and WHO founding father After Proverbs/29-18.
  • 6. William Beveridge designed a welfare state for the UK in the deepest point of the Second World War. ‘We should regard want, idleness , ignorance, squalor and disease as enemies of us all. That is the meaning of a social conscience; that we refuse to make our separate peace with evil.’
  • 7.
  • 8.
  • 9. If the policy is wrong, money will not make it right; and if the policy is right, money may not in fact, present an unduly difficult problem. EF Schumacher, Small is Beautiful, p 162
  • 10. “ Medicine is a social science and politics is nothing else but medicine on a large scale. “Medicine as a social science, as the science of human beings, has the obligation to point out problems and to attempt their theoretical solution; the politician, the practical anthropologist, must find the means for their actual solution” Rudolf Virchow
  • 11. it's not who your doctor is, it's who you vote for, that most affects your health
  • 12. The role of politician in improving and protect public health Global governance for good health
  • 14. ‘Protecting resources from one generation to the next’ The Welsh Wellbeing of Future Generations Act, 2015
  • 15. Health through peace: a progressive health movement Health is global ‘You cannot have healthy people on a sick planet’
  • 16.
  • 17.
  • 18. Health through peace: a progressive health movement Health is interconnected- with environment, economy, education…..’security’
  • 19.
  • 21. A role for our climate change special interest group
  • 23. Public health and the EU post Brexit A country fit to live in… where  Britain can power itself ? and  House itself ? and  Employ itself ? http://www.campaigncc.org/sites/data/files/Docs/ one_million_climate_jobs_2014.pdf
  • 24. Thinking globally, acting locally: Coventry and Warwickshire University Hospitals Jubilee Nature Reserve – managing water run off from hospital car parks - promoting biodiversity, saving money
  • 25. Thinking globally, acting locally: ‘Saving lives with Solar’, Royal North Midlands Hospitals, Stoke
  • 26. The new Midland Metropolitan hospital Opening 2018 – corporate citizenship offers of construction employment, low carbon footprint, local health service employment , key worker housing and relocation of services to community
  • 27. The role of politician in improving and protecting the public’s health: Setting healthy public policy Measuring the health impact of all policies
  • 28.
  • 29. 1001 critical days Personal health and social relationships education, PHSE in all schools 2 hours physical activity per week reinstated
  • 30. 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
  • 31. A living wage Reaffirm commitment to universal health care system free at the point of need funded through general taxation
  • 32. 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
  • 34. These 10 Corporations Control Almost Everything We Buy Industrial Corporations prioritise PROFIT, not public health
  • 35. Burden of disease attributable to 20 leading risk factors in 2010 expressed as a percentage of global disability-adjusted life-years Global Burden of Disease Group. www.thelancet.com 2012 380 2245 Diet ≈ 40%
  • 36. President gets cross on Childhood obesity strategy- August 2016
  • 37. The role of politician in improving and protecting the public’s health: Do the right thing
  • 38. Preparedness and safeguarding - key functions of public health
  • 39.
  • 40.
  • 41. Thank you Professor John Middleton President@fph.org.uk
  • 42. • Middleton J, ISIS, crop failure and no anti-biotics: what training will we need for future public health? European J Public Health 2016; https://eurpub.oxfordjournals.org/content/26/5/735 • Middleton J, Weiss M. Still holding on: public health in the UK after Brexit. Euroheathnet journal 2016; 22:no 4: 33-35. (ISSN 1356–1030) http://www.euro.who.int/__data/assets/pdf_file/0010/325945/Euroh ealth-V22-N4-2016.pdf?ua=1 • Middleton J. Public health in England in 2016—the health of the public and the public health system: a review Br Med Bull (2017) 1-16. DOI: https://doi.org/10.1093/bmb/ldw054 and http://academic.oup.com//bmb/article/doi/10.1093/bmb/ldw054/2871 226/Public-health-in-England-in-2016the-health-of- the?guestAccessKey=8f7a33a1-bdbf-4db4-948c-fd6b6293a259 • Middleton J, Saunders P. 20 years of local ecological public health: the experience of Sandwell in the English West Midlands http://www.sciencedirect.com/science/article/pii/S0033350615003303