Dr Jeremy Wight, Director of Public Health, gave a presentation to Health and Wellbeing Board members on the Due North report. The findings of the report will be used to support Sheffield's Health Inequalities Plan and Joint Health and Wellbeing Strategy.
Let's Talk Research Annual Conference - 24th-25th September 2014 (Prof. Marga...NHSNWRD
"Heading Due North: promoting health equity from evidence to action": Professor Margaret Whitehead's plenary from the Let's Talk Research conference, 24th & 25th September 2014.
Health Aspect of 12th five year plan in IndiaVikash Keshri
India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
Let's Talk Research Annual Conference - 24th-25th September 2014 (Prof. Marga...NHSNWRD
"Heading Due North: promoting health equity from evidence to action": Professor Margaret Whitehead's plenary from the Let's Talk Research conference, 24th & 25th September 2014.
Health Aspect of 12th five year plan in IndiaVikash Keshri
India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
Decentralization in Health Care – is there evidence for it?
Guest lecture at School of Public Health, National University of Kyiv-Mohyla Academy
by Axel Hoffmann, PhD
Swiss Tropical and Public Health Institute
Presenter: Jan Burkhardt. Dance and Health Specialist
Event: Dance & Health Networking Event, Newcastle upon Tyne, 16 June 2015, part of our Making Connections events series.
Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
Presenter: Lucie Stephens, Head of Co-Production, NEF
Event: Dance & Health Networking Event, Newcastle upon Tyne, 16 June 2015, part of our Making Connections events series.
Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
To raise awareness of gender issues and gender
impacts of budgets and Policies, To hold government
accountable for budgetary and policy commitments, To better promote gender equality.
Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
Decentralization in Health Care – is there evidence for it?
Guest lecture at School of Public Health, National University of Kyiv-Mohyla Academy
by Axel Hoffmann, PhD
Swiss Tropical and Public Health Institute
Presenter: Jan Burkhardt. Dance and Health Specialist
Event: Dance & Health Networking Event, Newcastle upon Tyne, 16 June 2015, part of our Making Connections events series.
Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
Presenter: Lucie Stephens, Head of Co-Production, NEF
Event: Dance & Health Networking Event, Newcastle upon Tyne, 16 June 2015, part of our Making Connections events series.
Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
To raise awareness of gender issues and gender
impacts of budgets and Policies, To hold government
accountable for budgetary and policy commitments, To better promote gender equality.
Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
A health system, also sometimes referred to as health care system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
Health systems are responsible for delivering services that improve, maintain or restore the health of individuals and their communities.
Common elements in virtually all health systems are primary healthcare and public health measures.
Securing and delivering devolution in partnership, pop up uni, 10am, 3 septem...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Securing and delivering devolution in partnership, pop up uni, 11am, 2 septem...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Presentation by Jo Ward, North West Social Prescribing Network Co-Chair: Social Prescribing Network and creative health agenda at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
The 2015 challenge manifesto sets out what we believe are the essential components of a new health and care system and how they might look and be experienced by people using and working in health and care, and the wider public. It also sets out some shared ‘asks’ of politicians and policymakers that are essential to achieve this vision.
Direction of Health and Social care in Norfolk CANorfolk
Jon Clemo (Chief Executive, Community Action Norfolk) facilitates a conversation with Melanie Craig (Chief Officer, Norfolk & Waveney Clinical Commissioning Group) and James Bullion (Executive Director, Adult Social Services, Norfolk County Council) on the direction of Health and Social Care in Norfolk based on questions received from the VCSE sector.
All Our Health - A Call to Action to All Healthcare ProfessionalsViv Bennett
A Public Health England programme - All Our Health is a call to action for all healthcare professionals, individually and collectively, to close the health and wellbeing gap,
contribute to a radical upgrade in prevention and public health and develop a social movement for health
Similar to Presentation on the Due North report into health inequalities in the north of England (20)
The Better Care Fund is a pooled budget for health and social care spending in the city which is shared between NHS Sheffield Clinical Commissioning Group and Sheffield City Council.
This set of slides talks Health and Wellbeing Board members through plans for the Better Care Fund in 2016/17. The slides were presented at the Health and Wellbeing Board meeting on 31 March 2016.
The paper which supports these slides can be read and downloaded at: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?CId=366&MId=5996&Ver=4.
Healthwatch Sheffield and the Health and Wellbeing Board held an engagement event on adult social care on 29 October 2015 in Sheffield town hall. Lots of service users, carers, and service providers attended.
These slides are from Phil Holmes' presentation. Phil is the Director of Adult Services at Sheffield City Council. In them he talks about adult social care in Sheffield, in particular how it can be improved.
The slides also show a transcript of an audio of Sheffield people's voices and experiences of adult social care which we listened to at the event.
If you have any questions about the event, email healthandwellbeingboard@sheffield.gov.uk.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015.
Gregor Henderson from Public Health England attended the Board meeting to help discussions on the topic.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015. Each Board meeting receives an update on one outcome of the Joint Health and Wellbeing Strategy for Sheffield.
Read the Joint Health and Wellbeing Strategy: https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/what-the-board-does/joint-health-and-wellbeing-strategy.html.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015.
To get involved in this work in Sheffield, email carers@sheffield.gov.uk.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
This event, held in Sheffield Town Hall in 28 May 2015, looked at what health and care could look like in 2020 in Sheffield and considered some of the challenges the system faces.
The Health and Wellbeing Board held an event on 13 November 2014 with Chilypep, Young Healthwatch and Sheffield Futures which look at children and young people's mental health and emotional wellbeing.
Presentation updating Sheffield's Health and Wellbeing Board on the Board's plans for the integration of health and social care at the Board's 25 September 2014.
The presentation included references to the Better Care Fund and sets out the Programme for Integrated Commissioning which is a joint programme between Sheffield City Council and NHS Sheffield Clinical Commissioning Group.
The presentation was delivered by Fiona McCaul.
Presentation at the Thriving VCF Leadership Group Event on 1 May 2014. The event focussed on the first workstream of the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
Sheffield's Joint Health and Wellbeing Strategy has five work programmes - more information about which can be found at https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/joint-health-and-wellbeing-strategy.html.
The Health and Wellbeing Board meeting of 27th March 2014 heard updates from each of these work programmes.
Sheffield's Joint Health and Wellbeing Strategy has five work programmes - more information about which can be found at https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/joint-health-and-wellbeing-strategy.html.
The Health and Wellbeing Board meeting of 27th March 2014 heard updates from each of these work programmes.
A review of reports and toolkits available to Health and Wellbeing Boards as of 26 November 2013
List created for the Yorkshire and the Humber HWB Officer Network and updated by Sheffield Health and Wellbeing Board
healthandwellbeingboard@sheffield.gov.uk
More from Sheffield Health and Wellbeing Board (20)
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
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
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
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).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
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
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Presentation on the Due North report into health inequalities in the north of England
1.
2. Purpose
To look at the evidence on social determinants of health in the light of
• the changes in public health responsibilities,
• the current economic context
• public service reform.
To do so from a northern perspective, considering what could be done
differently to impact on health inequalities.
Commissioned by Public Health England, but independent.
4. Healthy life expectancy at birth - males
age in years, 2010-12
Local authority values by PHE region
72
68
64
60
56
52
48
Richmond CC Buckinghamshire (70) u'Thames (70)
South London Midlands North
O Significantly higher than Enland O Significantly lower than Enland
Source: PHOF 2014
2 of 50 sig higher
34 of 50 sig lower
8 of 35 sig higher
12 of 35 sig lower
6 of 33 sig higher
6 of 33 sig lower
16 of 34 sig higher
2 of 34 sig lower
Bedford (68) Stockport (67)
Blackpool (54)
Leicester (57)
Tower Hamlets (53)
Plymouth (61)
Eng 63
5. Healthy life expectancy at birth - females
age in years, 2010-12
Local authority values by PHE region
68
63
58
53
48
South London Midlands North
O Significantly higher than Enland O Significantly lower than Enland
Source: PHOF 2014
4 of 50 sig higher
32 of 50 sig lower
9 of 35 sig higher
11 of 35 sig lower
6 of 33 sig higher
9 of 33 sig lower
20 of 34 sig higher
3 of 34 sig lower
Richmond u'Thames (71)
Wokingham (71) Rutland (70)
Cheshire East (68)
Manchester (56)
Leicester (57)
Newham (56)
Plymouth (60)
Eng 64
6. Life expectancy for most deprived 10% within the local authority - males
age in years, 2010-12
Local authority values by PHE region
78
74
70
66
62
South London Midlands North
O Significantly higher than Enland O Significantly lower than Enland
Source: PHOF 2014
1 of 50 sig higher
21 of 50 sig lower
12 of 35 sig higher
1 of 35 sig lower
27 of 33 sig higher
0 of 33 sig lower
20 of 34 sig higher
2 of 34 sig lower
Redbridge (78)
Wokingham (79)
Rutland (78)
Sheffield (75)
Blackpool (69)
Coventry (71)
Newham (74)
Bournemouth (71)
Eng 74
7.
8. Why now?
• deep-rooted issue: health inequalities have persisted for decades
• worrying signs that gaps could widen
• fall-out from recession, the impact of austerity and welfare reform
• health inequalities are not inevitable and should not be accepted
• growing momentum for change – economic balance and
sustainability, decentralisation – cross-sector and cross-party
9. Guiding principle and approach
• build on the assets and agency of the north
• the prevention of poverty in the long term and the promotion of
prosperity, by boosting the prospects of people and places
• a northern perspective on a nationwide issue
10. Causes of health inequalities
• differences in poverty, power and resources needed for health
• differences in exposure to health damaging environments, such as
poorer living and working conditions
• differences in the chronic disease and disability left by the historical
legacy of heavy industry and its decline
• differences in opportunities to enjoy positive health factors and
protective conditions that help to maintain health such as:
– good quality early years education
– economic and food security
– control over decisions that affect your life
– social support and feeling part of the society in which you live
11. Key questions for inquiry
• what can agencies in the North do to help reduce health inequalities
within the north and between the north and the rest of England?
• what does central government need to do to reduce these
inequalities?
12. Four high level recommendations
• tackle poverty and economic inequality within the North and
between the North and the rest of England
• promote healthy development in early childhood
• share power over resources and increase the influence that the
public has on how resources are used to improve the determinants
of health
• strengthen the role of the health sector in promoting health equity
Recommendations are directed both at ‘agencies in the
north’ and central government.
13. 1 Tackle poverty and economic inequality within the
North and between the North and the South
Agencies in the north should work together to
• draw up health equity strategies that include measures to ameliorate
and prevent poverty among the residents
• focus public service reform on the prevention of poverty in the future
and promoting the prosperity of the region by re-orientating services to
boost the prospects of people and place
• adopt a common progressive procurement approach to promote health
and to support people back into work
• ensure that reducing economic and health inequalities are central
objectives of local economic development strategy and delivery
• implement and regulate the Living Wage
• increase the availability of high quality affordable housing through
stronger regulation of the private rented sector, where quality is poor,
and through investment in new housing
• assess the impact in the North of changes in national economic and
welfare policies
14. 2 Promote healthy development in early childhood
Agencies in the north should work together to
• monitor and incrementally increase the proportion of overall expenditure
allocated to giving every child the best possible start in life & ensure that
expenditure level on early years development reflects levels of need
• ensure access to good quality universal early years education and
childcare with greater emphasis on those with the greatest needs, so
that all children achieve an acceptable level of school readiness
• maintain and protect universal integrated neighbourhood support for early
child development, with a central role for health visitors and children’s
centres that clearly articulates the proportionate universalism approach
• collect better data on children in the early years across organisations so
that we can track changes over time
• develop and sign up to a charter to protect the rights of children to the
best possible health
15. 3 Share power over resources and increase the
influence that the public has on how resources are
used to improve the determinants of health
Agencies in the north should work together to
• establish deep collaboration between Combined Authorities in the North
to develop a Pan-Northern approach to economic development and
health inequalities
• take the opportunity offered by greater devolved powers & resources to
develop, at scale, locally integrated programmes of economic growth and
public services reform at a scale to support people into employment
• develop community led systems for health equity monitoring &
accountability
• expand the involvement of citizens in shaping local budget use
• develop the capacity of communities to participate in local decision-making
and developing solutions which inform policies and investments
at local and national levels
• assess opportunities for setting up mutual organisations for providing
public services where appropriate, and invest in and support their
development
• re-vitalise Health and Wellbeing Boards to become stronger advocates
for health both locally and nationally
16. 4 Strengthen the role of the health sector in
promoting health equity
Clinical Commissioning Groups and other NHS
agencies in the North should work together to (1 of 3)
• lead the way in using the Social Value Act to ensure that procurement
and commissioning maximises opportunities for high quality local
employment, high quality care, and reductions in economic and health
inequalities
• pool resources with other partners to ensure that universal integrated
neighbourhood support for early child development is developed and
maintained
• work with local authorities, the Department for Work and Pensions
(DWP) and other agencies to develop ‘Health First’ type employment
support programmes for people with chronic health conditions
17. 4 Strengthen the role of the health sector in
promoting health equity
• Clinical Commissioning Groups and other NHS
agencies in the North should work together to (2 of 3)
• work more effectively with Local Authority Directors of Public Health and
PHE to address the risk conditions (social and economic determinants of
health) that drive health and social care system demand
• support health and wellbeing boards to integrate budgets and jointly direct
health and wellbeing spending plans for the NHS and local authorities
• provide leadership to support health services and clinical teams to
reduce children’s exposure to poverty and its consequences
18. 4 Strengthen the role of the health sector in
promoting health equity
Public Health England should (3 of 3)
• conduct a cumulative assessment of the impact of welfare reform and cuts
to local and national public services
• support local authorities to produce a Health Inequalities Risk Mitigation
Strategy
• help to establish a cross-departmental system of health impact assessment
• support the involvement of health and wellbeing boards and public health
teams in the governance of Local Enterprise Partnerships and combined
authorities
• contribute to a review of current systems for the central allocation of public
resources to local areas
• support the development of a network of health and wellbeing boards
across the north of England with a special focus on health equity
• collaborate on the development of a charter to protect the rights of children
• work with Healthwatch and health and wellbeing boards across the north of
England to develop community-led systems for health equity monitoring and
accountability
19. Where next?
• Report was commissioned by Public Health England as a
contribution to the on-going debate about how best to secure and
sustain the economic and social health and wellbeing of people and
places in the north – a wide debate, involving many, and led by local
government
• The recommended actions range in scale and complexity, and are of
interest to different groups. Not a take it all or leave it prescription,
more a set of carefully considered ideas, based on evidence and the
extensive on the ground experience of the panel members.
• PHE has issued an interim response to issues and
recommendations. Over the next three months they want to explore
and consider the issues in greater depth, in discussion and debate
with partners, before issuing a fuller response in spring 2015.
20. Recommendations for Health and Wellbeing Board
• The Health and Wellbeing Board should consider the
report and determine whether there are additional
actions, following the report’s recommendations, that
should be included in the Health Inequalities Action Plan.
• That in light of the emphasis in the report on the
importance of the local economy in addressing health
inequalities, that the Health and Wellbeing Board should
refer it to the Sheffield Executive Board and the Local
Enterprise Partnership.
Editor's Notes
Sig lower LAs:
Cheshire West and Chester 65.8
Stockport 67.0
Sig higher LAs:
CC Cumbria 65.9
CC North Yorkshire 67.3
York 67.5
Cheshire East 68.4
Stockport (65.9) is not sig higher but is one of the top five LAs.
Sig lower LAs:
Stockport 79.8
CC North Yorkshire 80.0
Cheshire East 80.4