1. Public Health “The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society.” 1

2. 2 A matter of civic pride?

3. Sandwell – a healthy town Sandwell is a member of the UK Healthy Cities Network World Health Organisation supported network Full Council commitment to ensuring health and health equity in ALL policies 3

4. Integrating public health Council leads on wider determinants that impact on health Public health brings knowledge, skills and experience and resource to support and add to the work of the council –Use of information and research –Support for priority setting and risk stratification –Assessing plans and policies for health impact –Staff, budgets and services 4

5. History of working together 5 Housing & health strategy Adult social care joint investment in telecare Joint work on children’s services Joint drug & alcohol strategies Environmental protection and tracking Sandwell Healthy Urban Development Unit Public health contributions to scrutiny reviews Research Sandwell

6. The 3 domains of Public Health Health improvement –Health promotion –Lifestyle services –Tackling the wider influences on health Health and social care related public health –Specialist advice for council & the NHS –Public health needs analysis –Assessment of the effectiveness of care & services Health protection –Emergency response –Infectious diseases –Environmental threats 6

7. Mandated public health services Health protection and emergency planning Measurement of children’s weight Sexual health services NHS health checks Public health ‘core offer’ to clinical commissioning groups for healthcare related public health 7

8. Public health outcomes framework 8 “To improve and protect the nation’s health and wellbeing and improve the health of the poorest fastest” Increased healthy life expectancy Narrow the gap in life expectancy and healthy life expectancy between communities Health Premium

9. Joint Health & Wellbeing Strategy 6 Marmot high level objectives + 1 local “Ensure people receive the care and support they need across the whole life course” Includes older people & end of life JHWS refresh - HWBB 4 key priorities for the next 2 years Early years & adolescent health Long term conditions / integrated care Frail elderly & dementia Alcohol

10. Marmot Indicators

11. 11 Life expectancy & disability free life expectancy at birth, by neighbourhood income level, England and Sandwell 1999-2003 Neighbourhoods by income deprivation (population percentiles) Age

12. Life expectancy for males and females, Sandwell and England and Wales, 2000-2010

13. Building on success in Sandwell Life expectancy increasing faster than national rate (narrowing the gap) Teenage pregnancy reducing faster than national rate Healthcare acquired infections significantly reduced –MRSA close to zero –C diff down by over 30% Brief interventions for alcohol doubled Deaths from fractured hips down by 20% in 5 years Breastfeeding rates increased by 10% from 2010-11 Drug related burglaries reduced by over 5000 since 2004 13

14. Many remaining challenges Life expectancy and healthy life expectancy still too low Lifestyles poor – obesity, smoking, alcohol Poor mental well being Ageing population Rising poverty

15. Sandwell Public Health Structure 2014 Director of Public Health - Chief Officer Consultant in Public Health - Disability Free Consultant in Public Health - Life Expectancy Consultant in Public Health (Shared with Birmingham) CCG Employee