Public Health England in the East Midlands Dr Fu-Meng Khaw Centre Director Platform for Health & Wellbeing, Derby Riverside Centre, 10 July 2013

Content Public Health England - background Role PHE Centre Understanding our public’s health Working with partners to improve the public’s health

“To protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.” PHE Mission

Our priorities for 2013/14 –Sets out Public Health England’s priorities and actions for the first year of our existence –Five outcome-focused priorities – what we want to achieve –Two supporting priorities – how we will achieve it –27 key actions to take now –The start of the conversation – a three-year corporate plan will follow

Local focus 15 CENTRES Deliver services and advice on three domains of public health Support local government and local NHS action to improve and protect health and reduce inequalities with intelligence and evidence Deliver the local Public Health England input to emergency preparedness, resilience and response Front door to PHE Centre Director – ‘Account Manager’

PHE delivery (1) Health Protection –Statutory function –Emergency response as Cat 1 responder –Communicable diseases and environmental hazards Health Improvement –Prevention of ill health –Change behaviour –Health inequalities –Wider determinants

PHE delivery (2) Service Improvement (Population healthcare) –System design –Improve Return on Investment –Improve effectiveness and efficiency

Understanding our public’s health

Life Expectancy - Male

Life Expectancy - Female

Life Expectancy – Male Inequalities Derby Life expectancy 77.9 years Gap = 12.4 years Leicester Life expectancy 75.4 years Gap = 9.4 years

Coronary heart disease in Birmingham Understanding inequalities in male life expectancy Prevalence of disease Premature mortality rates

Premature mortality

Amenable mortality A death is amenable if, in the light of medical knowledge and technology at the time of death, all or most deaths from that cause (subject to age limits if appropriate) could be avoided through good quality healthcare.

Preventable mortality A death is preventable if, in the light of understanding of the determinants of health at the time of death, all or most deaths from that cause (subject to age limits if appropriate) could be avoided by public health interventions in the broadest sense.

Avoidable mortality Avoidable deaths are all those defined as preventable, amenable, or both, where each death is counted only once. Where a cause of death falls within both the preventable and amenable definition, all deaths from that cause are counted in both categories when they are presented separately.

Obesity time series map Prevention

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Males Females © Crown copyright and database rights 2012 Ordnance Survey Adult obesity: BMI ≥ 30kg/m 2

Laboratory confirmed pertussis cases England and Wales to week 25 Year Total to week

Monthly cases of confirmed measles 2008 to March 2013, England

Mapping our public health system PHE Centre: East Midlands

NHSE Area Teams 2 in EM 1 in Y&H 1 in GM

NHS CCGs 18 in EM 1 across GM and EM

East Midlands Councils EM + Northants

Upper Tier LAs 8 in EM

Lower Tier LAs 33 in EM

Commissioning Support Units (+DMIC) Greater East Midlands CSU Greater Manchester CSU W&S Yorks and Bassetlaw CSU

Specialised Commissioning Hub Strategic Clinical Network Clinical Senate

Centre Integration Programme

An integrated PHE team in the East Midlands that delivers an excellent service that is widely used and highly regarded Vision

Operations Directorate PHE East Midlands Centre Health Protection Health Improvement Population Healthcare (inc. co-location with NHSE AT) HP Directorate Centre for Radiation, Chemical and Environmental Hazards HP Directorate Field Epidemiology Service HWB Directorate Screening QA HP Directorate Microbiology (FWE) CKO Directorate Knowledge and Intelligence Team Public Health Intelligence Cancer Intelligence OPs Directorate PHE Midlands and East Region Emergency Planning OPs Directorate PHE West Midlands Centre Drugs and Alcohol Team Miscellaneous Support Services HR, IT, Comms

Operations Directorate PHE East Midlands Centre Health Protection Health Improvement Population Healthcare (inc. co-location with NHSE AT) HP Directorate Centre for Radiation, Chemical and Environmental Hazards HP Directorate Field Epidemiology Service HWB Directorate Screening QA HP Directorate Microbiology (FWE) CKO Directorate Knowledge and Intelligence Team Public Health Intelligence Cancer Intelligence OPs Directorate PHE Midlands and East Region Emergency Planning OPs Directorate PHE West Midlands Centre Drugs and Alcohol Team Miscellaneous Support Services HR, IT, Comms PHE East Midlands

Measures of success PHE East Midlands –has a common purpose and offer that is widely understood (prospectus) –has a team that is fit for purpose –is widely used, highly regarded and delivers a high quality, safe and effective service

Developing the local public health system PHE contribution has to be integrated with other input Co-production is important – stakeholder engagement Underpinned by partnership agreements Value and respect contribution from all stakeholders Evidence-based and led by needs PHE East Midlands’ commitment to supporting networks