Yvonne Doyle, Director of Public Health, Public Health England - presentation from Age UK's For Later Life conference, 25th April 2013. For more information, view: www.ageuk.org.uk/forlaterlife

1. A new public health system:
the contribution of Public Health England
Yvonne Doyle MD MPH FRCPI FFPHM
Director of Public Health, London
Public Health England

2. THE GLOBAL FUTURE:
Global Burden of Disease 2004 – 2030 , and change in rankings.
Source: WHO Global Burden of Disease 2004.

3. Global wellbeing 2010:
Healthy life expectancy is less
than life expectancy
Males
Females

4. How does a public health system add value today?
An effective public health system:
Anticipates the changing nature populations
Enables wider mitigation of damage to people’s health.
Harnesses evidence, knowledge and technological advances to improve health and wellbeing equitably
Unites fragmented means of service delivery through good partnership and high quality commissioning
Secures equitable access to appropriate care
Achieves impact at scale

5. Health and Social
Care Act 2012
CHAPTER 7
Explanatory Notes have been produced to assist in the
understanding of this Act and are available separately
£44.75
Fundamentally changed the
public health system

6. 29 April 2013
The Act brings changes to where public health is delivered
and draws in some new players

7. Public Health England
• Articulating an authoritative national voice for public health in England
• Protecting the population from communicable disease and environmental
hazards
• Providing knowledge, evidence, intelligence and research
• Influencing through national/international relationships and acting as
opinion leaders for health
• Developing the public health specialist workforce
• Providing direct advice and services

8. Inequalities in health: there is a large body of work already

9. Example: Mapping deprivation, service access and
admissions for chest pain in the North East
The information is used to
intensify prevention programmes
and tie in primary care

10. Example: Commissioning for increased life expectancy in Blackpool
in a deprived community
The information is used
to track success from
a series of high impact
health interventions

11. Home
News and Events
New Products
Excess Winter Deaths (EWD) in England
Older People’s Health and Wellbeing Atlas
Health Improvement
Local Profiles
Topics
Learning
Partners
Links
News
Events
Courses
Vacancies
Excellence
Work in Progress
Introduction
Getting Started
Data
Feedback
Populations
Deaths
Hospital Admissions
Lifestyle
Environment
Metadata
Age and Gender
Ethnicity
Households
Projections
IMD 2007
Car Ownership
Deaths
Infant Mortality
Life Expectancy
Healthy Life Expectancy
Admissions
Emergency
QOF Prevalence
Cervical Screening
Teenage Pregnancy
Synthetic Estimates
Children's BMI
Alcohol Admissions
Alcohol Deaths
Tranquillity Score
Alcohol
Cancer
Causes of Death
Child Health
Climate Change and Health
Diabetes
Excess Winter Mortality in the West Midlands
Health Profiles
Joint Strategic Needs Assessment
Long Term Mortality Trends
Mental health
Migrant Data
Obesity
Older
People
Physic
al
Enviro
nment
Segme
ntation
Smoki
ng
Social
Care
Public
Health
Inform
ation
Learni
ng
Materi
als
Public
Health
Intellig
ence
Example of joint work with Age UK and local government
on inequalities in health: Excess Winter deaths

12. This is work
which ties in both
local government
and the voluntary
sector. The process
has been very
successful. Outcomes
are more
challenging.

13. Conclusions
Public Health England has ambition to improve health
and reduce inequalities and to work in partnership.
This builds on a large evidence base and detailed
previous work in the most deprived areas of
England.
We will draw on our national and regional resources to
support the public health system in England.
This will be outcome focussed: people will know how
good health is in different areas of England, and
what is being done about it.