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Getting serious about public
health and prevention
Shirley Cramer CBE
WHO Obesity Forecasts - UK
2030
Obese women 33% (25% 2010)
Overweight women 63% (59% 2010)
Obese men 36% (26% 2010)
Overweight men 73% (70% 2010)
£14 billion
Health inequalities
• Individuals in most deprived areas live 7 years less
than in least deprived areas
• Disability free life, expectancy – 17 years
• Mental health parity with physical health
What to do
• Tobacco levy
• Duty escalator on alcohol
• Duty on sugary soft drinks
• Tackle social determinants of health
People in UK Public Health
• To advise on the future public health
workforce
• Business case for investment 2014
• CfWI commissioned DH/PHE/HEE to
research and understand the wider
public health workforce
Core public health roles
Defined core public health workforce:
‘All staff engaged in public health activities
who identify public health as being the
primary part of their role’
- CfWI definition
 Identified 11 core public health roles
 Total workforce of around 40,000
 Great diversity of:
— Data availability
— Qualification requirements
— Registration
— Main employer
Understanding the wider public health workforce
Population
12
PH
Core
workforce
PH
Wider Workforce
Public Health Workforce:
‘Any individual who has the
opportunity or ability to
positively impact health and
wellbeing through their work’
- CfWI definition
Working Population
Wider public health workforce
Allied Health
Professionals
Pharmacy teams
Fire Service
Housing
Health Trainers
Health on the High Street
• Tackling clustering of unhealthy businesses
• Giving enhanced powers to Local Authorities
• Encouraging businesses to be more health promoting
Thank you
@R_S_P_H

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The NHS Five Year Plan-Shirley Cramer presentation

  • 1. Getting serious about public health and prevention Shirley Cramer CBE
  • 2.
  • 3.
  • 4.
  • 5. WHO Obesity Forecasts - UK 2030 Obese women 33% (25% 2010) Overweight women 63% (59% 2010) Obese men 36% (26% 2010) Overweight men 73% (70% 2010)
  • 7. Health inequalities • Individuals in most deprived areas live 7 years less than in least deprived areas • Disability free life, expectancy – 17 years • Mental health parity with physical health
  • 8. What to do • Tobacco levy • Duty escalator on alcohol • Duty on sugary soft drinks • Tackle social determinants of health
  • 9. People in UK Public Health • To advise on the future public health workforce • Business case for investment 2014 • CfWI commissioned DH/PHE/HEE to research and understand the wider public health workforce
  • 10. Core public health roles Defined core public health workforce: ‘All staff engaged in public health activities who identify public health as being the primary part of their role’ - CfWI definition  Identified 11 core public health roles  Total workforce of around 40,000  Great diversity of: — Data availability — Qualification requirements — Registration — Main employer
  • 11. Understanding the wider public health workforce
  • 12. Population 12 PH Core workforce PH Wider Workforce Public Health Workforce: ‘Any individual who has the opportunity or ability to positively impact health and wellbeing through their work’ - CfWI definition Working Population
  • 13. Wider public health workforce
  • 14. Allied Health Professionals Pharmacy teams Fire Service Housing Health Trainers
  • 15.
  • 16.
  • 17.
  • 18. Health on the High Street • Tackling clustering of unhealthy businesses • Giving enhanced powers to Local Authorities • Encouraging businesses to be more health promoting

Editor's Notes

  1. 3000 alcohol related admissions to A&E every day Young people have highest consumption of sugary soft drinks in Europe Physical inactivity causes 10% of heart disease, 13% of type 2 diabetes, 18% of breast cancer 70% of adults are inactive The 30% who have one or more long term conditions account for 7 out of every ten pounds spent on health and care in England
  2. Scale of the problem!
  3. Commissioned by the Department of Health (DH), Public Health England (PHE) and Health Education England (HEE) to: Provide a broad approach to defining the ‘public health workforce’ that focuses on the specific roles Collate workforce data on a national level Indicate the areas of responsibility for recruitment, education and training Create a national ‘map’ of the overall workforce that illustrates the key numbers, definitions, roles and areas of responsibilities, where known This definition was drafted in consultation with our commissioners at PHE, HEE and DH. We included people working in: Health protection Health improvement Healthcare public health
  4. Workers in wider workforce may not even see themselves as influencing or contributing to PH