1. Public Health in Pendle 5 th September 2012

2. Purpose of the meeting To share information and raise awareness on the Public Health agenda To start a continuing discussion on Public Health in Pendle

3. Public Health - Background National Picture around life expectancy Importance of the Marmot Report around Public Health Delivery New National Vision for Public Health Emerging local landscape Key role that District Borough Councils have around the public health agenda

4. Key PH messages around life expectancy The good news is that we are living longer, healthier lives Life expectancy from birth - men can expect to live until 78 years and women until 82 years Life expectancy at 65 - men can expect to live more than 17 years, and women more than 20 years Life expectancy is higher than it has ever been People in the poorest areas expect to live up to 10-12 years less than people in richer areas. (ONS 2010)

5. 5 Marmot Report – Key messages Health inequalities result from social inequalities – requires action on all the social determinants; the causes of the causes Focusing solely on the most disadvantaged will not reduce inequalities sufficiently – action is needed across the social distribution.

6. A New National Public Health System Whole scale reform of the NHS Commissioning Architecture Unitary/Upper tier local authorities will take statutory responsibility to improve the health of the local population Intention that LAs will bring the perspective of local place into NHS Commissioning Plans Specialist/Accredited Public Health Workforce will now be employed by Local Authorities Potential for greater integration between existing public health workforces

7. Examples of the key role that districts have in contributing to the broader PH agenda Districts continue to have a leading role in addressing the broader determinants of health through areas such as: Housing – allocation, standards, adaptation and meeting the needs of residents Planning – local development framework and policy shaping health & wellbeing Leisure – Opportunities for physical activity, working with schools etc Environment – Food chain, air quality, pollution etc Licensing – reducing harm from excessive alcohol consumption Green Space – how this is managed and promoting equitable access Scrutiny – Health & Social Care Panel

8. Public Health in Lancashire Lancashire Public Health Service Maggie Morris is leading on new staffing structure which will be finalised in next few weeks and circulated to locality public health teams and District Council CEX’s Transferring existing contracts from NHS to LCC. District Council reps involved in working group leading on this Work with Clinical Commissioning Groups A memorandum of agreement has been agreed with CCG’s which focuses on 3 areas = Health Improvement, Health Protection and population Heath Care Lancashire Health and Wellbeing Strategy The vision, four priorities and ten interventions have been developed and went to Lancashire Health and wellbeing Board on 4th September for formal adoption

9. Public Health in Lancashire Lancashire Public Health Team and support to District Councils Consultation undertaken with district Councils and results finalised and shared with District Council Health leads Key themes include: development of partnership agreement between Lancs PHT and District Council, support for elected Members, Intelligence at local level, building capacity of the workforce, clear communication channels, develop detailed District work plan based on partnership agreement…

13. Lancashire - Next Steps Hold wider partnership event working through scenarios to show how things will work in practice Analyse CCG memorandum of understanding and develop draft partnership agreement for discussion with District Councils Develop value added measure to show value of Public health intervention = financial and social value

14. Pendle Council Public Health Action Plan Key themes: -Policy -Environmental Protection -Housing -Health Appraisal (spatial planning) -Mental Health -Tobacco Control -Physical Activity

15. Pendle Council Public Health Action Plan Developed by a sub-group of Management Team Cross-Council representation Council response to integrating public health provisions into services Actions embedded in 2013-14 service plans

16. Public Health Organisational Development Piece of work commissioned to HM Partnerships Aim was to supplement the work of the sub-group and consider how PBC could develop its approach to public health Interviews conducted Report produced

17. Public Health Organisational Development – suggested actions Develop a Single Health and Wellbeing Vision Agree Shared Priorities for Pendle (across partners) Develop a Single Pendle Health and Wellbeing Partnership Develop Public Health Capacity across Pendle Consideration for Health Impact within all policy and strategy

18. Next Steps… Views on the role of Pendle Council and partners in Public Health / comments on suggested actions? Priority in terms of Member input and resources? Involvement of Members in the public health agenda going forward – more than the Health & Social Care Scrutiny Panel? Support for Pendle Council Public Health Action Plan? Work with LCC on Lancashire plans and defining support for Districts Consider Pendle’s partnership approach to Health- including vision and priorities- in line with the changing Lancashire picture