john gallacher - vision for wales

19
A Vision For Wales

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Page 1: John Gallacher - Vision for wales

A Vision

For Wales

Page 2: John Gallacher - Vision for wales

Wales as a public health laboratory

Science as the testing of

well-formed hypotheses

Public health as the engagement of

the public in their own health

Page 3: John Gallacher - Vision for wales

Why Wales?

• Distribution of inequality

• Defined population

• Devolved government

• Developed infrastructure

– NHS

– Informatics

– Research base

Page 4: John Gallacher - Vision for wales

What are the benefits?

• Health

– Improved public health

– Reduced health inequalities

• Wealth

– Greater productivity

– Reduced health care costs

– Greater inward investment

Page 5: John Gallacher - Vision for wales

Smoking and mortality

Page 6: John Gallacher - Vision for wales

Smoking and mortality

Page 7: John Gallacher - Vision for wales

So, what’s the plan !

1. Do good science

2. Use evidence to inform policy

3. Use policy to engage the public

Page 8: John Gallacher - Vision for wales

Good science

• Need for large-scale data resources to deliver definitive answers

• Need to study basic mechanisms to develop new interventions

• Need to reduce costs to make science more efficient

Page 9: John Gallacher - Vision for wales

The need for large studies: CHD versus SBP in the Prospective Studies

Collaboration (PSC)

Usual SBP (mmHg)

120 140 160 180

1

2

4

8

16

32

64

128

256 Age at risk:

80-89

70-79

60-69

50-59

40-49

500,000 people

Usual SBP (mmHg)

120 140 160 180

1

2

4

8

16

32

64

128

256 Age at risk:

80-89

70-79

60-69

50-59

40-49

50,000 people

Usual SBP (mmHg)

120 140 160 180

1

2

4

8

16

32

64

128

256

Age at risk: 80-89

70-79

60-69

50-59

40-49

5000 people

Page 10: John Gallacher - Vision for wales

Strategic Overview

Page 11: John Gallacher - Vision for wales

Does it work?

Page 12: John Gallacher - Vision for wales
Page 13: John Gallacher - Vision for wales
Page 14: John Gallacher - Vision for wales

Areas covered

Page 15: John Gallacher - Vision for wales

Recruitment

Page 16: John Gallacher - Vision for wales

Cognitive testing

Page 17: John Gallacher - Vision for wales

Psychological status

Page 18: John Gallacher - Vision for wales

Remote bio-sampling

Page 19: John Gallacher - Vision for wales

What would success look like?

“Better, cheaper and quicker science” “Better targeted and more effective public health”

• Fully integrated use of health related information • Widespread participation in the cohort • Generous biosample donation • Profusion of high quality specialist studies • Improved public engagement with health • Increased inward investment