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BCHWP Networking Event 26 th  May 2011 Jim McManus Joint Director of Public Health Public Health Futures: Challenges and Opportunities
1. THE PROPOSED CHANGES IN A NUTSHELL AND SOME IMPLICATIONS FOR VCS
Key health issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Life Expectancy at birth  of persons by train station across the West Midlands
A New Public Health System   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A New Public Health System –  Local Leadership for Public Health   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A New Public Health System –  Local Leadership  for Public Health
Public Health Funding & Commissioning Local communities Department of Health including Public Health England NHS Commissioning Board Local Authorities GP Consortia Providers Key Route for funding Route for accountability
PH Funding and Commissioning   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PH Funding and Commissioning   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Public Health Outcomes  Framework: VISION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],To improve and protect the nation’s health and to improve the health of the poorest, fastest
Public Health Outcomes Framework – ALIGNMENT WITH NHS AND ASC Adult Social Care Public Health NHS Adult Social Care and Public Health: Maintaining good health and wellbeing. Preventing avoidable ill  health or injury, including  through reablement or intermediate care services and early intervention. Adult Social Care and NHS: Supported discharge from NHS to social care. Impact of reablement or intermediate care services on reducing repeat  emergency admissions. Supporting carers and  involving in care planning. ASC, NHS and Public Health: The focus of Joint Strategic Needs Assessment: shared local health and wellbeing issues for joint approaches.  NHS and Public Health: Preventing ill health and lifestyle diseases and tackling their determinants. Awareness and early detection of major conditions ,[object Object],[object Object]
Summary timetable Summary timetable (subject to Parliamentary approval of legislation)  Date  ,[object Object],[object Object],[object Object],[object Object],Dec 2010–March 2011  Set up a shadow-form Public Health England within the Department of Health Start to set up working arrangements with local authorities, including the matching of PCT Directors of Public Health to local authority areas  During 2011  Develop the public health professional workforce strategy  Autumn 2011  Public Health England will take on full responsibilities, including the functions of the HPA and the NTA. Publish shadow public health ring-fenced allocations to local authorities  April 2012  Grant ring-fenced allocations to local authorities  April 2013
Overall Transition ,[object Object],[object Object],[object Object]
Key Issues wider than Public  Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What should the Third Sector do? ,[object Object],[object Object],[object Object],[object Object]
1. BEGINNING TO UNDERSTAND PUBLIC HEALTH INTERVENTIONS
 
Building a “Whole Council Approach” through Domains of Public Health 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
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
3. THE VCS PREPARING FOR THE NEW WORLD Contributions, Stakeholders and Influencing Processes
Choices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Outcomes can I contribute to?
Which Stakeholders Influence Money DsPH HWBB GP Consortia LA PHE NHSCB Scrutiny Healthwatch?
Learning the lessons from the National Audit Office 2010 not on course!
Smart Moves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Case Study Behaviour Change in Local Government
Life Expectancy by Ward
The drivers for behaviour change  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Birmingham by Cadbury Neighbourhood Classifications
The new public health duties ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Financial Options for Councils ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Birmingham ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Opportunities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Smart Moves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What does a business case for behaviour change look like? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you! Jim.mcmanus@birmingham.gov.uk

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26th May Bchwp Networking Event

  • 1. BCHWP Networking Event 26 th May 2011 Jim McManus Joint Director of Public Health Public Health Futures: Challenges and Opportunities
  • 2. 1. THE PROPOSED CHANGES IN A NUTSHELL AND SOME IMPLICATIONS FOR VCS
  • 3.
  • 4. Life Expectancy at birth of persons by train station across the West Midlands
  • 5.
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  • 8. Public Health Funding & Commissioning Local communities Department of Health including Public Health England NHS Commissioning Board Local Authorities GP Consortia Providers Key Route for funding Route for accountability
  • 9.
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  • 17. 1. BEGINNING TO UNDERSTAND PUBLIC HEALTH INTERVENTIONS
  • 18.  
  • 19. Building a “Whole Council Approach” through Domains of Public Health 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
  • 20. 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
  • 21. 3. THE VCS PREPARING FOR THE NEW WORLD Contributions, Stakeholders and Influencing Processes
  • 22.
  • 23. What Outcomes can I contribute to?
  • 24. Which Stakeholders Influence Money DsPH HWBB GP Consortia LA PHE NHSCB Scrutiny Healthwatch?
  • 25. Learning the lessons from the National Audit Office 2010 not on course!
  • 26.
  • 27. 3. Case Study Behaviour Change in Local Government
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  • 36.

Editor's Notes

  1. 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.