NHS Roles in Public Health Jenny Wright, PHORCaST Project Lead Katie Wright, PH Programme Manager, Dental, NWL PCTs 9/05/12

What we will cover: Who is the ph workforce and where are they found – now and into the future Getting started on a career/role in ph What is there to help you and the people you are advising

Why you might have found it difficult…. Multidisciplinary, multiagency, multiprofessional Confusing nomenclature Many settings and roles – people move around in careers And it is all changing!

Definition The science and art of preventing disease, prolonging life and promoting health through the organised efforts of society (Acheson, 1988) What unites public health and the people working in it: A focus on population health and wellbeing (utilitarian v 1-1) An objective to improve and protect health; reduce inequalities Work on major public health issues (eg swine flu, tobacco control, obesity, alcohol misuse, widening inequalities, climate change) and a passion to do something about them!

Regent’s Park Hyde Park Kensington Gardens Knightsbridge & Belgravia Queen’s Park Vincent Square Houses of Parliament Queen’s Park Station Lord’s Cricket Ground Inner North West London Paddington Station Queen’s Park to Knightsbridge & Belgravia 13 years of life gained (male), 10 years of life gained (female) Knightsbridge & Belgravia to Vincent Square 10 years of life lost (male), 3 years of life lost (female) Male Life Expectancy: 76.8 years Female Life Expectancy: 83.8 years Male Life Expectancy: 89.9 years Female Life Expectancy: 93.4 years Male Life Expectancy: 80.0 years Female Life Expectancy: 90.4 years © INWL Public Health Intelligence 2012 Data Sources: LHO life expectancy at birth - ward level ( ); GLA 2011 Round SHLAA Ward Population Projections ; Dept. of Communities and Local Govt. Indices of Deprivation Mapping data supplied by Ordnance Survey Harrow Road Lancaster Gate Bayswater Hyde Park (ward) Bryanston & Dorset Square M: 77.1 F: 92.1 M: 73.8 F: 78.0 M:91.6 F: 85.1 M: 86.0 F: 85.7 M: 85.6 F: 88.7 M:93.7 F: 88.1 Westbourne St. James’s Warwick M: 80.7 F: 95.1 M: 80.4 F: 86.4 Buckingham Palace Life Expectancy in Westminster A Journey on the No. 36 bus from Queen’s Park to Vincent Square

Work within and across 3 “domains” – health improvement, health services, health protection supported by health intelligence and academic public health Unifying competence framework -core skills set – epidemiology, statistics, critical appraisal, research, strategic leadership, partnership, managerial and engagement, project and programme management

How we categorise the ph workforce: Specialists (strategic/consultant level) Practitioners (operational – 2 categories) Wider workforce (all those with a role)

Specific health service roles now: PH nurses, infection control, health promotion, CPH, health intelligence, PH project and programme management Formal qualifications (and regulation) for some: consultants, PH nursing, ph nutrition, ph psychologists, ph pharmacy. UKPHR does offer (voluntary) practitioner registration AfC band 5 and up Multidisciplinary higher specialist training scheme :

Structure of NHS PH now and post April 2013 CurrentPost April 13 SHAPHE (civil service) PCTLA (upper tier) Primary care providerscontinuing NHS Rest of UK different

Key policies which will drive change in how we view the public health workforce Public Health White Paper Dec 2010 Public Health Outcomes Framework Jan 2012 Making Every Contact Count (Future Forum) June 2011 Public Health Workforce Strategy (March 2012) Underpinned by the Wanless and Marmot Reviews into health inequalities and health service affordability/focus on prevention through life course approach

Pattern of careers and roles for the future?– 3 ways enter/develop public health roles From University into one of domains/formal training into one of the career routes Mid career move Develop ph interest, competence, add to other role

Katie as an example..... Why interested in ph Early career How got started and what helped Day in ph life – what likes, what doing Future aspirations

Who the website is for Those wishing to enter a career in ph/wishing to find out more about their role in ph Those working in ph who may wish to develop their career further/move around within ph Plus: Those working in education, workforce planning, employers, those advising on careers

Look of the website Engaging – visually, clear and straightforward language, ease of movement round website What you will find: Informative - outline info on website with direct link to other websites for more detail Comprehensive – breadth and depth of ph

Please use it: Let us know what you think: Any questions?