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A
Vision
For
Wales
Wales as a public health laboratory
Science as the testing of
well-formed hypotheses
Public health as the engagement of
the public in their own health
Why Wales?
• Distribution of inequality
• Defined population
• Devolved government
• Developed infrastructure
– NHS
– Informatics
– Research base
What are the benefits?
• Health
– Improved public health
– Reduced health inequalities
• Wealth
– Greater productivity
– Reduced health care costs
– Greater inward investment
Smoking and mortality
Smoking and mortality
So, what’s the plan !
1. Do good science
2. Use evidence to inform policy
3. Use policy to engage the public
Good science
• Need for large-scale data resources to deliver
definitive answers
• Need to study basic mechanisms to develop
new interventions
• Need to reduce costs to make science more
efficient
The need for large studies:
CHD versus SBP in the Prospective Studies
Collaboration (PSC)
Usual SBP (mmHg)
120 140 160 180
1
2
4
8
16
32
64
128
256
Age at risk:
80-89
70-79
60-69
50-59
40-49
500,000 people
Usual SBP (mmHg)
120 140 160 180
1
2
4
8
16
32
64
128
256
Age at risk:
80-89
70-79
60-69
50-59
40-49
50,000 people
Usual SBP (mmHg)
120 140 160 180
1
2
4
8
16
32
64
128
256
Age at risk:
80-89
70-79
60-69
50-59
40-49
5000 people
Strategic Overview
Does it work?
Areas covered
Recruitment
Cognitive testing
Psychological
status
Remote bio-sampling
What would success look like?
“Better, cheaper and quicker science”
“Better targeted and more effective public health”
• Fully integrated use of health related information
• Widespread participation in the cohort
• Generous biosample donation
• Profusion of high quality specialist studies
• Improved public engagement with health
• Increased inward investment

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John Gallacher - Vision for wales

  • 2. Wales as a public health laboratory Science as the testing of well-formed hypotheses Public health as the engagement of the public in their own health
  • 3. Why Wales? • Distribution of inequality • Defined population • Devolved government • Developed infrastructure – NHS – Informatics – Research base
  • 4. What are the benefits? • Health – Improved public health – Reduced health inequalities • Wealth – Greater productivity – Reduced health care costs – Greater inward investment
  • 7. So, what’s the plan ! 1. Do good science 2. Use evidence to inform policy 3. Use policy to engage the public
  • 8. Good science • Need for large-scale data resources to deliver definitive answers • Need to study basic mechanisms to develop new interventions • Need to reduce costs to make science more efficient
  • 9. The need for large studies: CHD versus SBP in the Prospective Studies Collaboration (PSC) Usual SBP (mmHg) 120 140 160 180 1 2 4 8 16 32 64 128 256 Age at risk: 80-89 70-79 60-69 50-59 40-49 500,000 people Usual SBP (mmHg) 120 140 160 180 1 2 4 8 16 32 64 128 256 Age at risk: 80-89 70-79 60-69 50-59 40-49 50,000 people Usual SBP (mmHg) 120 140 160 180 1 2 4 8 16 32 64 128 256 Age at risk: 80-89 70-79 60-69 50-59 40-49 5000 people
  • 12.
  • 13.
  • 19. What would success look like? “Better, cheaper and quicker science” “Better targeted and more effective public health” • Fully integrated use of health related information • Widespread participation in the cohort • Generous biosample donation • Profusion of high quality specialist studies • Improved public engagement with health • Increased inward investment