Environmental Health and Public Health Peter Carey Environmental Health Manager 4 th December 2013 North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk.

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Presentation transcript:

Environmental Health and Public Health Peter Carey Environmental Health Manager 4 th December 2013 North Herts District Council

The role environmental health can play in the new public health agenda The opportunities and challenges My presentation North Herts District Council

Themes n Perspective n Priorities n Organisations n Resources North Herts District Council

Perspective n Pre 19 th Century - little Government involvement in public health n Industrial revolution - overcrowding, poor housing, bad water and disease n Major cholera outbreaks n Government accepted the case for action North Herts District Council

Public measures n 1834 Poor Law Amendment Act n 1848 The Nuisances Removal and Diseases Prevention Act n 1848 Public Health Act n 1853 Vaccination Act n 1875 Public Health Act n 1894 Local Government Act North Herts District Council

Individual measures n 1906 Power for LAs to provide free school meals n 1907 School medical examinations for all children n 1908 Old age pensions introduced n 1911 National Insurance introduced North Herts District Council

Current environmental health roles n Nuisance n Housing conditions inc overcrowding n Drinking water quality n Food safety n Health & safety at work n Infectious disease control n Air quality n Contaminated land n Tobacco control (smoke free premises) n Noise control n Skin piercing North Herts District Council

Priorities n HCC priorities n District Council priorities n NHS priorities n Herts H&W Strategy priorities n Wider determinants of health n Public Health Outcomes Framework for England North Herts District Council

Health & Wellbeing Strategy priorities n Reducing the harm caused by alcohol. n Reducing the harm from tobacco. n Increasing physical activity and promoting a healthy weight. n Fulfilling lives for people with learning disabilities. n Living well with dementia. n Enhancing quality of life for people with long term conditions. n Supporting carers to care. n Helping all families to thrive. n Improving mental health and emotional wellbeing. North Herts District Council

Wider determinants of health North Herts District Council

Public Health Outcomes Framework

Organisations North Herts District Council

North Herts District Council

n HCC n CCGs (x2) n District/Borough Councils (x10) n Parish/Town Councils n NHS Trusts n NHS Local Area Team n PHE South Midlands & Herts n Third Sector North Herts District Council

Resources n Budgets n Economic climate n Commissioning North Herts District Council

North Herts District Council Case studies District Council’s Network “District Action on Public Health”

Wealden DC – food safety n Improving food knowledge at lunch clubs n Over 20 lunch clubs across n Target audience older people (but not exclusively) n FSA grant applied for to support clubs n Training and other support offered with regard to hygiene and nutrition n Half day training sessions and handbooks North Herts District Council

Chichester DC – falls prevention n Statutory duty to deal with hazards in homes n Accident notifications required under HSW74 n Chichester 2008, most serious accident report notifications related to falls of residents in care homes n Half day training session developed for care home supervisors to increase knowledge of how to carry out falls prevention assessment. n Delivered in conjunction with local NHS Trust n 40% drop in care home accident reports since training North Herts District Council

North Herts DC – tobacco control North Herts District Council n Health Act 2006 – the smoking ban n Was compliance as good as reported? n Focus on business engagement n Taxi businesses n Vehicle checks with the Police n Referrals to HSSS

North Herts District Council Conclusion n Detailed knowledge of public health issues n Practical and adaptable officers n Local knowledge of our communities and local public health threats n Statutory powers