The document summarizes key points from a primary care and public health symposium presented by Dr. Tony Jewell, Chief Medical Officer for Wales. The symposium discussed: 1) the importance of primary care now more than ever; 2) the systematic application of evidence; 3) having the right tools for primary care providers' jobs; 4) opportunities to improve primary care through an integrated system; and 5) developing the right type of primary care systems. The document emphasizes the complexity of primary care according to Barbara Starfield and concludes by thanking attendees.

1. Primary Care and Public
Health Symposium
www.cymru.gov.uk
Dr Tony Jewell
Chief Medical Officer for Wales
Cardiff University
Holiday Inn
1
26th October 2011

2. Tobacco kills
Main from lung cancer, 1991 - 2008
Mortality points
Source: World Health Organization
• Primary care – now more than
ever www.cymru.gov.uk
• Systematic application of
evidence
• Having the right tools for the job
• Opportunities for better primary
care in an ‘integrated system’
• Growing the ‘right’ type of
primary care systems

3. Tobacco kills
Primary care: Now more than
Mortality from lung cancer, 1991 - 2008
ever World Health Organization
Source:
www.cymru.gov.uk

4. Tobacco kills
Systematic application of
Mortality from lung cancer, 1991 - 2008
evidence Organization
Source: World Health
www.cymru.gov.uk
Hart JT, Thomas C, Gibbons B, Edwards C, Hart M,
Jones J, Jones M, Walton P. Twenty-give years of
audited screening in a socially deprived community.
British Medical Journal. 1991; 302:1509-13.

5. Chief the right toolsOfficer’s
Having Medical for the job
Tobacco kills
Percentage of patients with Chronic Obstructive Pulmonary Disease with a
Mortality from lung cancer, 1991 - 2008
Annual Health Organization
Source: World Report
record of a breath test (FeV1) recorded in the previous 15 months
Source: Primary Care Information Set 2010
www.cymru.gov.uk

6. Tobacco kills
Opportunities for better primary
care in an ‘integrated system’
Mortality from lung cancer, 1991 - 2008
Source: World Health Organization
www.cymru.gov.uk

7. Growing the ‘right’ type of
Tobacco kills
Mortality from lung cancer, 1991 - 2008
primary care
Source: World Health Organization
In its most highly developed form,
primary care is the point of entry into
the health services system and the
www.cymru.gov.uk
locus of responsibility for organizing
care for patients and populations over
time. There is a universally held belief
that the substance of primary care is
essentially simple. Nothing could be
further from the truth.
Barbara Starfield (1992) Primary Care: Concept,
Evaluation, and Policy.
Oxford University Press, NY (Preface)
Barbara Starfield: 1932-2011

8. Tobacco kills
Main from lung cancer, 1991 - 2008
Mortality points
Source: World Health Organization
• Primary care – now more than
ever www.cymru.gov.uk
• Systematic application of
evidence
• Having the right tools for the job
• Opportunities for better primary
care in an ‘integrated system’
• Growing the ‘right’ type of
primary care systems

9. Diolch yn fawr
Thank you very much
Tony.jewell@wales.gsi.gov.uk
http://wales.gov.uk/topics/health/ocmo/?lang=en
http://wales.gov.uk/topics/health/ocmo/?lang=cy