1. Transformation – Learning from others
An English Perspective – Leading Local Transformation
Niall Dickson - Chief Executive, NHS Confederation
Public Health, Prudent Healthcare and a Whole of
Government Approach
Dr Tracey Cooper - Chief Executive, Public Health Wales

2. Insert name of presentation on Master Slide

3. Cymru 3.1million population Health fully devolved
£15bn: £6.7bn health and social services
7 Health Boards (£236m - £1.2bn), 3 national NHS Trusts (Public Health Wales, Velindre, National Ambulance Service)
Health Boards: integrated acute, primary and community
22 Local Authorities
Cabinet Secretary for Health, Well-being and Sport and Minister for Public Health and Social Services

4. Health in Wales today AND TOMORROW...

5. POPULATION CHANGES

6. Burden of disease

7. Projections
Please note: The Daffodil system applies Wales-level prevalence figures to projected population estimates for the areas in question to give a projected number of people who will have these conditions in the future. In doing so, a number of assumptions which may or may not hold true in the future are made and should be borne in mind when interpreting the results. In particular this data assumes that the population will continue to have the same prevalence of a disease in the future as it does now, and does not take account of prevalence change.

9. We must deliver a more preventative approach for our public’s health that has maximum impact to reduce inequalities and enable people to live
healthier for longer

10. How do we create a Healthy and sustainable society?

15. Well-being of Future Generations (Wales) Act: 1 April 2016
Future Generations Commissioner
Statutory duty of public services
Establishment of Public Service Boards
Assess state of economic, social, environmental and cultural well-being
Develop Health and Wellbeing Plans
National cross-government, cross-sector indicators
Goals reconcile back to SDGs and global monitoring
LEADERSHIP : BEHAVIOUR : RELATIONSHIPS : CULTURE

16. Adverse Childhood Experiences (ACEs)
In Wales
Health Harming
Mental Well-being
Chronic Disease

19. ACEs Summary www.aces.me.uk Major Cause of Non-Communicable Disease
Expose Health and Economic value of good parenting
Need consideration across the life course
Impacted by Environment (e.g. poor alcohol control)
Joint agenda for Health, Social Care, Housing, Education and Crime
Require a Unified Research Agenda
Inter-generational benefits from breaking the cycle
Better informed parents make better life-course
choices
A trusted adult can make a remarkable difference
ACE Hub established: Health, Housing, Police,
Education

20. He who has health has hope and he who has hope has everything.
Thomas Carlyle