Councillors BriefingPublic Health

June 2019

What is the role of Public Health?

Improve population health

Reduce health inequalities

Help people stay healthy

Tackling the wider determinants of health

Increase life expectancy

Reduce the gap in mortality

Partnership working

Public Health plays an important role in delivering the council objectives

and improving the health of the community

Public Health is everyone’s business

Good start in life

Breast feeding

Education

Healthy adulthood

Employment

Housing

Healthy later life

Dementia friendly

Social isolation

‘Sir Michael Marmot ‘

Public HealthHealth & Social Care Act Legislation 2012

Source:http://www.adph.org.uk/wp-content/uploads/2016/09/Interpreting-the-ringfenced-grant-conditions-and-mandateGATEWAY.pdf

Public Health Grant

Medway’s allocation for 2019/20:

£16.7 million

£3.8m (CWA)

£4.8m on the 0-19 contract,

£2.2m on Sexual health

services

£2m on drugs and alcohol

Mandated services Weighing and measuring children Health Check Assessment and conduct

Sexual health Services

Public health advice service to CCG’s

Protecting the health of the local population

Non-mandated functions but

‘conditions of the public health grant’ Drug and alcohol

Children and Young People (0-19 services)

Other Services Stop Smoking, Healthy Weight, PSHE, Social Isolation, Mental

Health, Work Place Health, Breastfeeding etc…

What are our priorities in Medway?

The five key themes are working together to:

Give every child a good start in life

Enable our older population to live independently and

well

Prevent early death and increase years of healthy life

Improve physical and mental health and wellbeing

Reduce health inequalities

Major Causes of Death in Medway

Cardiovascular diseases

Respiratory disease

Liver disease

Cancer

Public Health Outcomes Framework

(PHOF) Indicators

England Medway

Life expectancy at birth (Male) 79.6 78.8

Life expectancy at birth (Female) 83.1 82.5

Breastfeeding Initiation 74.5 70.7

Under 18 conceptions 18.8 22.3

Smoking status at time of delivery 10.8 17.4

Child excess weight 4-5 year olds 22.4 23.4

Child excess weight 10-11 year olds 34.3 34.5

Percentage of physically INACTIVE adults 22.2 22.5

Estimated diabetes diagnosis rate 78.0 89.1

Successful completion of alcohol treatment 38.9 48.3 Worse

Similar

BetterSource: https://fingertips.phe.org.uk/profile/public-health-outcomes-

framework/data#page/0/gid/1000042/pat/6/par/E12000008/ati/102/are/E06000035/iid/90366/age/1/sex/1

https://www.gov.uk/government/publications/using-the-nhs-health-check-programme-to-prevent-cvd/using-the-world-

leading-nhs-health-check-programme-to-prevent-cvd

What are we doing to address CVD?

Health Checks promoting healthy ageing and tackling the key risk factors

related to early death and disability,

Health Checks Over 7500 Health checks

carried out for 2018/19

Medway leading on Innovation

National recognition

Gangs – Extremist and

radicalisation

Social Isolation

1st Digital Stop smoking services

Beside you campaigns

Know your numbers

Release the pressure campaign

Suicide prevention

Breastfeeding

Air Quality

Suicide prevention

Breastfeeding campaigns

Campaigns, Events,

Survey - 338 responses

Health Improvement Offer Front line services

Child Health

Domestic Abuse

Health Improvement Advice Centre

NHS Health Checks

Oral Health Promotion

Sexual Health

Stop Smoking

Substance Misuse

Supporting Healthy Weight

Tobacco Control

Wider Determinants of Health

Workforce Development

Workplace Health

Engaging with our communities

Medway Mile

‘Focus on’ High Halstow

RE Medway Health Fair

Healthy Eating

Commissioned Services

Aims to reduce:

Loneliness

Isolation

Have fun

Improve skills

213 members, 65 sessions

last quarter

Early Years (0-5) Giving every child a good start – why is it so

important?

Investment in the early years of life is highly

effective in terms of the impact on future

health and wellbeing and is highly cost-

effective.

Has lifelong effects on many aspects of

health and wellbeing, from obesity, heart

disease and mental health, to educational

achievement and economic status.

Essential for the future success of Medway

and the health and wellbeing of people in

Medway.

Healthy Pregnancy

Grow my brain campaign

Supporting and promoting a healthy pregnancy is

important for the baby’s growth and development,

we do this by:

Educating, advising and encourage women to :

eat healthily

make sure that they are getting the correct

vitamins and minerals from their food

supporting good mental health

help them to stopping smoking, using drugs and

alcohol misuse

dispelling the myths in terms of exercise during

pregnancy.

https://www.medway.gov.uk/growmybrain

Blooming Bumps

Service user story

Source: https://www.gov.uk/government/publications/health-matters-giving-every-child-the-best-start-in-life/health-matters-

giving-every-child-the-best-start-in-life

Healthy Child Programme Health Visitors

Providing full antenatal care,

including parenting classes, clinical

examinations and screenings

Safeguard and protect children

Recognising the risk factors,

triggers of concern, signs of abuse

and neglect in children from birth to

five yrs

Work with at-risk or deprived groups

such as the homeless, addicts or

travellers.

Healthy Child Programme Programmes for Families

Cook SmileGrow

https://medway2my.sharepoint.com/personal/sara_vistosi_medway_gov_uk/_layouts/15/onedrive.aspx?id=%2Fpersonal%2Fsara%

5Fvistosi%5Fmedway%5Fgov%5Fuk%2FDocuments%2FFilms%2FTri%20Club%20reviews%20May%202019%2Emp4&parent=%2

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b1594783716d

Adulthood

Our needs change as we get

older, e.g.

Independent living

Mental health problems

Employment

Deafness and hearing loss

Falls

Vision Impairment and

blindness

Ageing health

Making Medway a Healthier PlaceWorkplace health

150 businesses connected to the

programme,

55 working towards ABM

wellbeing workplace award.

Programme of work driving best

practice.

Recognised by PHE

Improving mental wellbeing and reducing isolation

Aims to reduce:

Loneliness

Isolation

Have fun

Improve skills

Over 200 members, 65

sessions per quarter

Improving mental wellbeing

Source: https://publichealthmatters.blog.gov.uk/?s=time+to+talk+

Mental health and physical health are closely linked and one in six adults nationally is experiencing a

mental health problem at any one time, improving mental health is important to improving health overall.

Dementia, Falls and Frailty

Source:https://www.gov.uk/government/publications/health-matters-midlife-approaches-to-reduce-dementia-risk/health-matters-midlife-approaches-to-reduce-dementia-risk

Promoting healthy

lifestyles can reduce the

risk of dementia

Dementia friendly status

awards at:

Stop smoking shop,

Medway Park

Where do we want to get to?

Reduce early deaths (under 75

mortality rates)

Bring smoking rates down

Reduce obesity rates

Increase physical activity uptake

Help people have longer healthier

lives (Life expectancy rates)

Ensuring that all communities have

good health (Reduce Health

Inequalities)

Embedding Public Health across the community

Self Harm Training:

Trained over 40

practitioners from a

range of agencies

Supporting our Older People

Age

65+ 10%

85+ 18%

Population Predictions next

5 years

Living well supports:

people to live in their own

homes for longer

reduces the need on

residential, nursing homes

or other community settings

Healthy Walks

Councillors have a unique and privileged position

and the potential to make a real difference to

peoples lives.

You can improve the health of people in your ward….

Councillors roles and responsibilities

The Life-course ApproachPrevention and promotion of health and well-being from pre-birth to the end of life.

Advocates for your local residents

Bridge between the community and the council

Signposting

Responding to constituents queries

Know your patch and be aware of any problems

Understand what is available to

support their needs

Key Issues – Identify where you can have an

impact on the key areas…..

Thank you