Public Health England (PHE) presented information on their organization and priorities related to children, young people and families. Key points:
- PHE was formed in 2013 to protect and improve public health in England. They provide expertise and support to local public health teams.
- One of PHE's five outcome priorities is supporting families to give children and young people the best start in life. Specific actions include programs on childhood obesity, the Troubled Families initiative, and early intervention.
- Variations exist in health outcomes across England related to factors like smoking in pregnancy, childhood obesity, and alcohol-related hospital admissions. PHE aims to address these inequalities.
Let's Talk Research Annual Conference - 24th-25th September 2014 (Prof. Marga...NHSNWRD
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Let's Talk Research Annual Conference - 24th-25th September 2014 (Prof. Marga...NHSNWRD
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Adolescent Sexual and Reproduction Health PresentationDeepak TIMSINA
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Professor Sir Michael Marmot's Charles Cully Lecture on health inequalities a...Irish Cancer Society
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This is an example of a wellness plan to benefit the school and it's community. The goal is to improve education through improving the health of the students, employees, and members of the community.
This invited presentation for the Institute of Health Visiting Leadership Conference gives a DPH view on the future of Child Public Health and the need for a systems approach
Jean White - Community Nursing Researchangewatkins
A Showcase Conference for Community Nursing Research in Wales
“Small Improvements Make the Biggest Difference”
Wednesday 5th November 2014, Swalec, Cardiff
http://www.wspcr.ac.uk/cnrs-conference-2014.php
Ms Marie Killeen, Programme Manager of the Health and Wellbeing Programme at the Department of Health, spoke about the Government's objectives and aspirations to promote health and wellbeing in Ireland.
An introduction to the UK Healthy Child Programme 0-19 yrs and Public Health services for CYP, for third sector (community and voluntary sector) practitioners & managers
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contribute to a radical upgrade in prevention and public health and develop a social movement for health
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RKSK is a health programme launch under RMNCH A by National health mission for main focussing on the adolescent health.
It's main objective are
1. Improve nutrition
2. Improve reproductive and sexual health
3.violence free living
4. Enhance mental health
5. prevent substance misuse
6. Address NCDs
The strategy to achieve this objective are
1. Intervention
Individual based and community based
2. Convergence with other health department.
3. Change in communication skills.
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RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
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3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
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2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
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The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
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Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Public Health England
1. Children, Young People and
Families
- Presentation to NCVYS, July 2013
Eustace de Sousa, Deputy Director – Children, Young People and Families
Iain Mallett, Head of Public Involvement and Communications Manager
Lorraine I Thomas, (Interim) VCS Partnerships Lead
2. Public Health England
About Public Health England
• We are a national executive agency formed in 2013 from a number of expert
organisations in public health. Our status ensures we have operational autonomy and
professional and scientific credibility.
• We protect and improve the nation’s health and wellbeing, and tackle health
inequalities so that the poorest and most poorly benefit most.
• We provide a nationwide, integrated public health service, supporting people to
make healthier choices. We provide expertise, information and intelligence to public
health teams based in local authorities and the NHS to secure the biggest
improvements in the public’s health.
2 Understanding Public Health England
3. Mission
3
“To protect and improve the nation’s
health and to address inequalities,
working with national and local
government, the NHS, industry,
academia, the public and the voluntary
and community sector.”
4. What we do
4
– work transparently, proactively providing government, local government, the
NHS, MPs, industry, public health professionals and the public with evidence-
based professional, scientific and delivery expertise and advice
– ensure there are effective arrangements in place nationally and locally for
preparing, planning and responding to health protection concerns and
emergencies, including the future impact of climate change
– support local authorities, and through them clinical commissioning groups, by
providing evidence and knowledge on local health needs, alongside practical
and professional advice on what to do to improve health, and by taking action
nationally where it makes sense to do so
5. “We exist to serve the public through
the public health system, a system led
locally by elected members where
responsibility for the public’s health
sits alongside responsibility for jobs,
housing and communities.”
Public Health Priorities, 2013/14
6. Our priorities for
2013/14
6
– Sets out Public Health England’s
priorities and actions for the first
year of our existence
– Five outcome-focused priorities –
what we want to achieve
– Two supporting priorities –
how we will achieve it
– 27 key actions to take now
– The start of the conversation – a
three-year corporate plan will follow
7. Outcome-focused priorities
7
1. Helping people to live longer and more healthy lives by reducing preventable deaths and
the burden of ill health associated with smoking, high blood pressure, obesity, poor diet,
poor mental health, insufficient exercise, and alcohol
2. Reducing the burden of disease and disability in life by focusing on preventing and
recovering from the conditions with the greatest impact, including dementia, anxiety,
depression and drug dependency
3. Protecting the country from infectious diseases and environmental hazards, including the
growing problem of infections that resist treatment with antibiotics
4. Supporting families to give children and young people the best start in life, through
working with health visiting and school nursing, family nurse partnerships and the
Troubled Families programme
5. Improving health in the workplace by encouraging employers to support their staff, and
those moving into and out of the workforce, to lead healthier lives
8. Supporting priorities
8
6. Promoting the development of place-based public health systems
7. Developing our own capacity and capability to provide professional, scientific and delivery
expertise to our partners
9. Actions 2013/14
9
4. Giving children and young people the best start in life
• Launch a national programme promoting
healthy weight and tackling childhood obesity
• Partner the Troubled Families programme
• Accelerate improvements in child health
outcomes
• Partner the Early Intervention Foundation
11. Actions 2013/14 (extracts)
11
1. Reducing preventable deaths
• Accelerate efforts to promote tobacco control & reduce the
prevalence of smoking
• Report on premature mortality and the Public Health Outcomes
Framework
2. Reducing the burden of disease
• Improve recovery rates from drug dependency
• Improve sexual health and reduce the burden of sexually
transmitted infections
• Develop a national programme on mental health in public health
12. Actions 2013/14 (extracts)
12
3. Protecting the country’s health
• Reverse the current trends so that we reduce the rates of tuberculosis
infections
• Lead the gold standards for current vaccination and screening
programmes
• Develop and implement a national surveillance strategy
6. Promoting place-based public health systems
• Make the business case for promoting wellbeing, prevention and early
intervention as the best approaches to improving health and wellbeing
• Partner NHS England to maximise the NHS’ impact on improving the
public’s health
• Implement the public health workforce strategy and develop the PHE
workforce
13. Behaviours
Our effectiveness depends on how we behave, so we will:
consistently spend our time on what we say we care about
work together, not undermine each other
speak well of each other, in public and in private
behave well, especially when things go wrong
keep our promises, small and large
speak with candour and courage
13
14. Place-based approach to public health
14
Public health advice
Health and wellbeing boards
Local government CCGs
PHE
centre
NHSE
area team
• EPPR
• Screening and immunisation
• Offender public health programmes
• Specialised commissioning
• Primary care public health programmes
and population healthcare
NHS
providers
Non-
statutory
providers*
People and communities
*Including voluntary and community sector
15. Children, Young People and Families
• Our approach
• Variation
• Examples from:
• Early Years
• Obesity Trends and Inequalities
• Alcohol and Adolescence
• How we can make a difference
15
17. Children,Young People and Families
17
Life course approach
Pregnancy Early Years School-aged Adolescents
Reduce
numbers of still
births and infant
deaths
Safe transfer of
Healthy Child
Programme 0-5s
Settings approach
– healthy schools
and FE
Reaching C&YP
out of school
Healthy Weight
and Physical
Activity, NCMP
Adolescent public
health
improvement
framework –
targeting children &
young people with
multiple
vulnerabilities
Corporate
priority
Improving health outcomes
Healthy weight and tackling childhood obesity
Troubled Families
Early Intervention
Cross-
cutting
Reduce numbers of under 18s killed or seriously injured in road traffic collisions
Promote resilience/ improve mental health and wellbeing
Ensure children, young people & families shape, inform our work
Life-stage
priority
18. Variation in Health Outcomes
18
England Best England Average England Worse
Smoking in pregnancy 2.9 13.2 29.7
Preventable Infant Mortality 2.2 4.4 8.0
MMR immunisation (by age
2 years)
97.2 91.2 78.7
Killed/seriously injured in
road accidents
4.4 22.1 47.9
Obese children (4-5 years) 5.8 9.5 14.5
Hospital admissions due to
alcohol specific conditions
16.9 55.8 138.3
A&E attendances (0-4
years)
136.3 483.9 1,187.4
Source: Child and Maternal Health Intelligence Network, PHE, May 2013
20. Why Early Intervention Matters
20
• A child’s early experience has a long lasting impact on the neurological
architecture of their brain and their emotional and cognitive development
• Pregnancy and birth a key time for change – parents have an instinctive
drive to protect their young and want their child to be healthy and happy
and do well in life
• Evidence that effective preventive interventions in early life can produce
significant cost savings and benefits in health, social care, educational
achievement, economic productivity and responsible citizenship
• There is scientific consensus that origins of adult disease are often found
in pregnancy and infancy
26. 26
Alcohol use among young people in
England, 2011
• 45% of pupils had drunk alcohol, a decrease from the peak of 61%
in 2001
• 12% of pupils had drunk alcohol in the last week compared to 26%
in 2001
• 7% of pupils said they usually drank at least once a week,
compared with 20% in 2001
• Drinking alcohol in the last week is associated with age, ethnicity,
and other risky behaviours (smoking, drug taking and truancy)
The Health and Social Care Information Centre 2012
27. 27
Smoking, drinking and drug use
Smoking,drinkinganddruguseamongyoungpeopleinEnglandin2011
http://www.natcen.ac.uk/
0
10
20
30
40
50
60
70
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
%
Year
Ever drank alcohol
Ever smoked
Ever taken drugs
28. 28
Substance UseAmong Students in 36
European Countries
ESPAD2011
UK European Average
Alcohol use last 30 days 65% 57%
Heavy episodic drinking
past 30 days
52% 39%
29. Public involvement and participation
29 Presentation title - edit in Header and Footer
Understanding Public Health England
29
30. Public involvement benefits
Benefits will include:
• Supports the delivery of PHE’s Priorities for 2013-14 and help embed the
PHE Quality Framework in our work.
• Public health advice and services can be evaluated by the intended
recipients i.e. the people who should benefit from them.
• Help to validate our actions and plans by providing evidence which can be
both quantitative and qualitative.
• Meet the requirement for research funding bodies to have a public
involvement component in proposed projects.
30 title - edit in Header and Footer
Understanding Public Health England
30
31. Delivering our priorities
Public Involvement will enable PHE to:
• Involve the public in the promotion of a new narrative about prevention
and early intervention as well as the social determinants of health.
• Involve and work with people from ‘seldom heard’ communities so that
the health needs of those on the margins and otherwise overlooked have
national visibility.
• Work with partners especially in the community and voluntary sector to
improve the health and wellbeing of our citizens.
31 Presentation title - edit in Header and Footer
Understanding Public Health England
31
32. Principles of PHE public involvement
• Work with the public as partners both directly and through advocates in the voluntary
and community sector to protect and improve the public’s health and well-being.
• When necessary, coordinate public consultations and share good practice across
PHE and with our health and care system partners.
• Listen to and value the contribution of the public, patients, service users, healthcare
professionals, managers, scientists and colleagues from partner agencies.
• Bring clarity to the purpose of involvement and how we will take forward suggestions
including explaining when we cannot do as the public ask.
• Ensure PHE involves and works with people from seldom heard and marginalised
communities whenever possible, using a community development approach.
• Go to where people are instead of expecting them to come to us.
• Incorporate evaluation into the way the PHE plans and delivers its public involvement
work.
• Report and provide evidence which demonstrates how public involvement contributes
to service improvement and development.
32 Understanding Public Health England
33. Methods of involvement
33 Presentation title - edit in Header and Footer
Understanding Public Health England
33
There are a range of mechanisms for directly involving the public in PHE work. These
can include (not exhaustive):
• Public PHE meetings (Board meetings other programme boards)
• Participating in national or local meetings organised by community organisations
• Subject or condition specific focus groups
• Review / citizen panels
• Online feedback and surveys
• Social media
• Through representative groups and community organisations
34. Ladder of
participation
34 Presentation title - edit in Header and Footer
– Information
– Consultation
– Deciding together
– Acting together
– Supporting community
initiatives
Understanding Public Health England
34
Information Providing information to the public about new and emerging diseases such as a new
strain of pandemic influenza or providing advice on how to improve their health and
well being.
Methods include – print, broadcast and social media as well as leaflets, websites and
social marketing.
PHE activities: Public relations and marketing activities
Consultation Asking the public what they think about PHE strategies, plans and policies as well as
how it responses in emergencies, for example feedback on our priorities, business
plans and equality objectives.
Methods include – special meetings, discussion groups, questionnaires, online
surveys and forums.
PHE activities: People’s Panel questionnaires and discussion groups. (Level 1 and
2) See Appendix1 for definition of involvement levels.
Deciding
together
Developing ideas together with the public deciding about what improvements are
needed to the current services, priorities for change and what sort of solutions might
be appropriate for PHE to implement.
Methods include – deliberative events and community development activities
including those aimed at the hard to reach and marginalised.
PHE activities: Equality Forum hosting seminars for stakeholders or running Citizen’s
Juries. (Level 2)
Acting together All the stages of deciding together but in addition would include an element of public
involvement in the implementation phase – e.g. involvement in planning, writing and
producing public health information.
Methods include – partnership building working through partnership bodies.
PHE activities: Members of the People’s Panel who sit on PHE working groups and
committees. (Level 3)
Supporting
community
initiatives
A group of people who have experience of health inequality eg developing a
community-led resource to improve the health and well-being of a hard to reach
community.
Methods include – capacity building through advice, support and funding.
PHE activities: Engaging with the public through voluntary and community sectors
organisations
35. PHE People’s Panel
• ‘People’s Panel’ - almost 1000 people across England are part of the panel
forming the largest consumer panel of its kind in the country. The People’s
Panel was established as an innovative way to engage with the public about
health priorities, information and services. Membership was drawn from two
national random samples giving a unique and valuable insight into public
health issues that the public feels are important and how they understand
and respond to health information.
35
36. Public involvement at local level
36 Presentation title - edit in Header and Footer
Existing structures for local PHE to involve the public include:
• PHE has made it a priority for local centres to be active partners in their health
system; this includes the voluntary and community sector. PHE national will help
to support the sharing of good practice to raise awareness of local initiatives.
PHE will also promote existing national initiatives. At regional and local level, the
voluntary and community sector have a clear role to play as advocates,
mediators and facilitators at local level and across specific community groups.
• There are opportunities to build on involvement with HealthWatch. Currently a
member of the national steering group for HealthWatch England sits on the PHE
Equality Forum and members have taken part in workshops to set up
HealthWatch in their various local authority areas. This contributes to the
assurance element of the PHE Quality framework for a ‘Public Voice’.
Understanding Public Health England
36
37. Working in partnership with and through the
Voluntary and Community Sector (VCS)
PHE will work in partnership with the VCS to achieve progress on improving
the public’s health and wellbeing, and tackling inequalities.
‘Wewillworkalongsidethevoluntarysectoranddoallwecantohelpgetthem“intotheroom”
toco-designservicesthatareintegratedaswellas,ofcourse,deliveringthem.Onewithoutthe
otherrathermissesthepoint.
…itisinconceivablethattheVCScouldnotbeapartnerinrelationtothediscussionsabout
howtomakethingsbetter.
…Itwouldtakethestatutorypublichealthsystem10yearstohaveafractionoftheirimpactand
reach… Thereisanarmywaiting–everythingfromfaithgroupstotheBritishRedCross.Itis
stunning.’ Duncan Selbie, Chief Executive, Public Health England:
37
38. Working in partnership with the VCS
WhatwehaveheardsofarfromSectorleaders:
• an open and honest relationship with regular communication
• early involvement with a focus on action – be clear and practical about purpose,
use ‘task and finish’ groups
• avoid a single approach to the Sector; adapt to organisations and purpose
• regular one to one contacts or forums for organisations across the Sector
• some saying avoid siloed engagement with the Sector but create purposeful,
dynamic engagement across Sectors
• use existing forums, e.g. Strategic Partner Programme, Active Communities
Development Group where possible and align engagement with other system
leaders
• collaborate and share information and resources with the community – e.g. in
health promotion materials and campaigns
38 Public Health England and VCSE Sector
39. How can we make a difference?
• Use knowledge about risk and what builds resilience
• Promote evidence and learning from practice about what works
• Combine targeted help for those most at risk with universal interventions
• Take a life course and place-based approach –schools, families, and
communities
• Work in partnership, taking a coordinated and collaborative approach,
recognising strengths of different partners and using resources effectively
• Listen and act on what children, young people and carers tell us
39
40. PHE Contacts
PHE’swebsiteis www.gov.uk/phe
YoucanfollowusonTwitter@PHE_uk
Seealso
• www.chimat.org.uk
• www.hscic.gov.uk/
• www.earlyinterventionfoundation.org.uk
Ifyouwouldliketogetintouchpleasecontact
EustacedeSousa –eustace.desousa@phe.gov.uk
Iain.Mallett –iain.mallett@phe.gov.uk
LorraineThomas –lorraine.thomas@phe.gov.uk.
40 Public Health England and VCSE Sector
Editor's Notes
Department of Health teams coming to PHE:
DH health improvement and protection
DH offender health
DH clinical programmes
DH communications
DH regional public health groups