1. PUBLIC HEALTH IN THE COUNCIL Judith Mills Public Health Specialist 18 th July 2013 Health Scrutiny Committee

2. CONTENTS What is public health and what is the history? The health of the people of Blackpool and the challenges The Council’s new responsibility for Public Health Blackpool’s Public Health Directorate and what we deliver

3. WHAT IS PUBLIC HEALTH? The art and science of preventing disease, prolonging life and promoting health through the organised efforts of society.

4. PUBLIC HEALTH – OUR HISTORY Edwin Chadwick The Sanitary Conditions of the Labouring Population of Great Britain

5. BROAD STREET PUMP PUBLIC HEALTH - OUR HISTORY

6. PUBLIC HEALTH 1974 Director of Public Health NHS Director of Environmental Health Local Authority PUBLIC HEALTH - OUR HISTORY

7. 150 YEARS ON FROM THE BROAD STREET PUMP

8. Our Challenge MALE LIFE EXPECTANCY

9. Our Challenge

10. Our Life Expectancy within Blackpool

11. Local Government’s New Functions New duty to improve the health of the population: Commissioning Public Health services from a range of providers Working with Clinical Commissioning Groups to integrate care pathways Using Health and Wellbeing Board to integrate commissioning approaches Providing population healthcare advice to the NHS Duty to ensure plans in place to protect health – emergencies and outbreaks

12. Commissioning Responsibilities - £17 million Tobacco control – stop smoking Alcohol and drug services School nursing and Healthy Child Programme 5-19 Obesity: community lifestyle and weight management Nutrition initiatives Increasing physical activity Sexual health services NHS Health Check assessments Workplace health initiatives

13. Who is in your new Public Health Directorate? Director of Public Health Arif Rajpura Director of Public Health Arif Rajpura Public Health Specialist Liz Petch Public Health Specialist Liz Petch Public Health Specialist Judith Mills Public Health Specialist Judith Mills Public Health Specialist Lynn Donkin Public Health Specialist Lynn Donkin Health Improvement Reducing Health Inequalities Team Health Improvement Reducing Health Inequalities Team Improving Healthcare Health Intelligence Public Health Registrars Improving Healthcare Health Intelligence Public Health Registrars Healthy Weight Healthy Lives Health Protection Healthy Weight Healthy Lives Health Protection

14. SO WHAT DO WE DO? Understand population health needs Lobby for change Help others understand the impact they have and how they can help Commission evidence based Public Health interventions Advise others on what works Benchmark spend Scrutinise vaccination and screening programmes Prevent the spread of infectious diseases Organise planned response to emergencies and outbreaks Understand the population, the area, the disease and demand on health and potentially social care

15. KEY PRIORITIES FOR BLACKPOOL’S HEALTH Alcohol Mental health, including dementia, suicides and self harm Healthy weight Tobacco control Sexual health, including reducing the spread of HIV Reducing the risk of heart disease and stroke Cancer prevention and treatment Drug treatment, including reducing drug related deaths