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Hertfordshire’s Public Health
Strategy

Cllr Teresa Heritage
Hertfordshire Assembly Meeting
November 13th 2013

www.hertsdirect.org

Jim McManus
Our Strategy
Vision – what we want to achieve
Priorities – What we will do to get there
Building Blocks – some of our approaches

www.hertsdirect.org
A Distributed System

• Public Health England
• NHS England
• NHS Clinical Commissioning Groups
• County Council
• District and Borough Councils
• Voluntary and Community Sectors
• Employers

www.hertsdirect.org
The Big Public Health Challenges for Hertfordshire
•Non
Communicable
Disease

Imms
Vaccs

•Public Mental
Health

•Development

TB

Health
Improvement

Health
Protection

•Ageing
Health Care Quality
Public Service Outcomes

www.hertsdirect.org

Service Quality

HCAI
Environment
Our Health Challenges

www.hertsdirect.org
Conceptualising wider determinants
Contributors to overall health outcomes
Health
Behaviours 30%

Socioeconomic
Factors 40%

Clinical Care
20%

Built Environment
10%

Smoking 10%

Education 10%

Environmental
Quality 5%

Diet/Exercise 10%

Employment
10%

Access to care
10%
Quality of care
10%

Built
Environment 5%

Alcohol use 5%
Poor sexual health
5%

www.hertsdirect.org

Income 10%
Family/Social
Support 5%
Community
Safety 5%

Source: Robert Wood Johnson Foundation and University
of Wisconsin Population Health Institute. Used in US to
rank counties by health status
While this is from a US context it does have significant
resonance with UK Evidence, though I would want to
increase the contribution of housing to health outcomes
from a UK perspective.
Priority 1

Our residents live longer, healthier lives

www.hertsdirect.org
Priority 2

Our residents start life healthy, and stay
healthy

www.hertsdirect.org
Priority 3 We narrow the gap between most and least
healthy

www.hertsdirect.org
Priority 4

We protect our communities from harm

www.hertsdirect.org
Priority 5

Priority 6

Understand what is needed
and do what works

We make Public Health
everybody’s business

•

Intelligence and
Information

•
•

•
•

Evidence
Evaluation and
monitoring

www.hertsdirect.org

Workforce development
Clear models of how to
do public health
www.hertsdirect.org
Key Concept - 6 Levels of Public health

• Biological
• Behavioural
• Social
• Legislative
• Structural
• Environmental

www.hertsdirect.org
Delivery Model

www.hertsdirect.org
Next Steps

• Implementation Plan
• Specific Plans

•
•

– Sexual Health
– Obesity
– Tobacco
– Lifestyle and Physical Activity
Partnerships
Health Promotion Resource

www.hertsdirect.org
Learning

• Public Health Conference for Hertfordshire –
free to attend, 4th December

• www.hertspublichealth.co.uk
• E Learning Platform
• PH Library Resource

www.hertsdirect.org
So

• Does this make sense?
• Is it doable?
• What do you think can make it better?
• How do we improve?
• Where do we go from here?
• What can you do?
• What do we need to do to help you?

www.hertsdirect.org

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Hertfordshire's Public Health Strategy overview

  • 1. Hertfordshire’s Public Health Strategy Cllr Teresa Heritage Hertfordshire Assembly Meeting November 13th 2013 www.hertsdirect.org Jim McManus
  • 2. Our Strategy Vision – what we want to achieve Priorities – What we will do to get there Building Blocks – some of our approaches www.hertsdirect.org
  • 3. A Distributed System • Public Health England • NHS England • NHS Clinical Commissioning Groups • County Council • District and Borough Councils • Voluntary and Community Sectors • Employers www.hertsdirect.org
  • 4. The Big Public Health Challenges for Hertfordshire •Non Communicable Disease Imms Vaccs •Public Mental Health •Development TB Health Improvement Health Protection •Ageing Health Care Quality Public Service Outcomes www.hertsdirect.org Service Quality HCAI Environment
  • 6. Conceptualising wider determinants Contributors to overall health outcomes Health Behaviours 30% Socioeconomic Factors 40% Clinical Care 20% Built Environment 10% Smoking 10% Education 10% Environmental Quality 5% Diet/Exercise 10% Employment 10% Access to care 10% Quality of care 10% Built Environment 5% Alcohol use 5% Poor sexual health 5% www.hertsdirect.org Income 10% Family/Social Support 5% Community Safety 5% Source: Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute. Used in US to rank counties by health status While this is from a US context it does have significant resonance with UK Evidence, though I would want to increase the contribution of housing to health outcomes from a UK perspective.
  • 7. Priority 1 Our residents live longer, healthier lives www.hertsdirect.org
  • 8. Priority 2 Our residents start life healthy, and stay healthy www.hertsdirect.org
  • 9. Priority 3 We narrow the gap between most and least healthy www.hertsdirect.org
  • 10. Priority 4 We protect our communities from harm www.hertsdirect.org
  • 11. Priority 5 Priority 6 Understand what is needed and do what works We make Public Health everybody’s business • Intelligence and Information • • • • Evidence Evaluation and monitoring www.hertsdirect.org Workforce development Clear models of how to do public health
  • 13. Key Concept - 6 Levels of Public health • Biological • Behavioural • Social • Legislative • Structural • Environmental www.hertsdirect.org
  • 15. Next Steps • Implementation Plan • Specific Plans • • – Sexual Health – Obesity – Tobacco – Lifestyle and Physical Activity Partnerships Health Promotion Resource www.hertsdirect.org
  • 16. Learning • Public Health Conference for Hertfordshire – free to attend, 4th December • www.hertspublichealth.co.uk • E Learning Platform • PH Library Resource www.hertsdirect.org
  • 17. So • Does this make sense? • Is it doable? • What do you think can make it better? • How do we improve? • Where do we go from here? • What can you do? • What do we need to do to help you? www.hertsdirect.org