F4 is public health coming home to local government- jim m


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  • I am going to talk about our experience of trying to address issues as they arose In most emergencies issues arise you do not plan for In this flu pandemic, we had neither a slow rising tide nor a flash flood experience but a mix of different issues in different parts of the country and the city I think what comes out of this is the need to seek to predict what systems of the City’s life will be most affected given what we now know, and then seek to make those resilient My guesses are most cities will see schools, nurseries and social care very affected In delivering this I am focusing on Local Authority services because this is a local authority seminar. I will, inevitably, do injustice to NHS family colleagues because of this. Setting up out of hours flu centres, for example, was a valuable experience for us. And the work of BADGER in developing clinical good practice in assessment and response is just one important piece of work from Birmingham I won;’t be able to do justice to. I will also inecvitably underestimate the role of the Birmingham Resilience Team and the multi-agency Birmingham Resilience Group. These have been hugely important and positive experiences.
  • F4 is public health coming home to local government- jim m

    1. 1. 28 th June 2011 Local Government Association Jim McManus Joint Director of Public Health Building Bridges, Creating Confidence Reflections of a Joint DPH
    2. 2. Lessons from History <ul><li>145 Years of Public Health in Birmingham : </li></ul><ul><li>Sir Alfred Hill, Birmingham’s First Medical Officer of Health, 1866-1903 </li></ul><ul><li>Housing work was a key plank of Birmingham’s early public health strategies </li></ul>
    3. 3. 1974 : Fissure or Evolution <ul><li>Public Health in Local Government </li></ul><ul><li>NHS Public Health </li></ul><ul><li>False divisions </li></ul><ul><li>Different foci, varying methods, complementarity </li></ul>
    4. 4. What would an approach look like? Health Improvement Health Protection Commissioning priorities, Evidence, acting when evidence is silent, making it work, supporting implementation Ensuring we have the right frameworks in place Long term, medium term, short term impacts FALLS PREVENTION Service Quality and Improvement
    5. 5. An Example - Direct
    6. 6. Learning the lessons from the National Audit Office 2010 not on course!
    7. 8. An Example - Indirect
    8. 9. Timeframes of impact/yield Years 0 1 5 10 15 Planning Frameworks and Core Strategies Education Vitamin Supplements Decent Homes Air Pollution Primary Care Air Pollution Decent Homes Reducing Worklessness Primary Care
    9. 10. Elements of a Strategy This is about doing Housing in a public health supporting way, NOT making housing staff health workers Housing Quality and affordability The Lives people lead The Environment and amenities <ul><li>Decency standards </li></ul><ul><li>Thermal efficiency </li></ul><ul><li>Fuel Poverty </li></ul><ul><li>Financial Exclusion </li></ul><ul><li>Issues for social care and health care supported by housing (independence, falls prevention, telecare) </li></ul><ul><li>Quality of Education </li></ul><ul><li>Life skills </li></ul><ul><li>Self-Efficacy </li></ul><ul><li>Accessibility </li></ul><ul><li>Social Isolation </li></ul><ul><li>Social Inclusion </li></ul><ul><li>Green Clean Safe </li></ul><ul><li>Environmental cues for healthy living </li></ul>
    10. 11. Resources 1 <ul><li>Blog on Local Government and Public Health </li></ul><ul><li>http://jimmcmanus.wordpress.com </li></ul><ul><li>Paper on Local Government Transition including risks and finance </li></ul><ul><li>Powerpoints from Development Sessions </li></ul><ul><li>All available through http://uk.linkedin.com/in/jimmcmanus2 </li></ul>
    11. 12. Resources 2 <ul><li>E book on Local Govt and Presentation </li></ul><ul><li>Public Health in Local Govt Briefings </li></ul><ul><li>Contact me Jim.mcmanus@birmingham.gov.uk </li></ul>