Embed Size (px)
DESCRIPTION
Citation preview
Dials & levers:SHOES ,March 2014: John Middleton DPH Sandwell
A life course
3 successes
A life course – 24th annual report for Sandwell
Long term conditions
Figure 1, Teenage Conception 1998 - 2012
Sandwell's reduction since baseline (44%) is higher than England & Wales's reduction of 40.8%. The West Mildands reduction has also been lower than Sandwell at 42%. Figure 1, above, show that the gap between Sandwell and England is reducing further.
Getting research into practice? John Middleton Lancet Public Health Research Conference 29th November 2013
Housing and health
Getting research into practice? John Middleton Lancet Public Health Research Conference 29th November 2013
A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 1st April 2001, by housing type, n=25,595 dwellings
Getting research into practice? John Middleton Lancet Public Health Research Conference 29th November 2013
A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 31st March 2011, by housing type, n=25,595 dwellings
Housing and health -Results:
Significant relationship of improved thermal efficiency with reducing excess winter deaths Adjusting for all of the other variables there is negative association between improved thermal efficiency and the odds of being admitted
as an emergency People in warmer homes appear to be admitted less for serious illnesses
The result is statistically significant The effect size appears large
• I recommend Sandwell reviews its clinical policies for management of failure of growth in the womb.
• • I recommend this review be undertaken for the conurbation as well
if this can be agreed and organised rapidly.• • I recommend that the review should involve externally
commissioned experts with a national or international reputation. • • We need a new strategy for improving outcomes for pregnant
mothers, newborn babies and their families. •
Challenges Children ready for school Young people ready for workUrgent care/whole health system capacity management Private sector housing fit to live in And a whole community facing up to climate collapseAnd an economy gearing for a green revolution
An Asset based approach
To health improvement and community resilience Self reliant communities ward profiles Spend to save- one off opportunity presented by public health budget for projects to reduce spend in future More help, less care
Four dividends for a healthier future
The health dividend
Four dividends for a healthier future
The inclusion dividend
Birmingham Sandwell / Urban Living Smart housing manifesto 2004
The Future?
Easy to use Patient Graphic interface
Wireless or wired devices, POTS and IP Communications
Software based product – operates on a variety of devices in expanding applications
Standard protocols – easy customization
Tablet PC CareCompanion II Handheld devices
Four dividends for a healthier future
The green dividend
The green recovery ?
Four dividends for a healthier future
The peace dividend
