public health and the role of the health and wellbeing board
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Public Health and the role of the Health and Wellbeing Board. Dr Liz Robin, Director of Public Health. Wednesday 10 th July 2013. County Council responsibilities covered by HealthWatch. Adult Social Care Children’s Social Care Public Health Health and Wellbeing Board. - PowerPoint PPT PresentationTRANSCRIPT
Public Health and the role of the Health and Wellbeing Board
Dr Liz Robin, Director of Public Health
Wednesday 10th July 2013
County Council responsibilities covered by HealthWatch Adult Social Care Children’s Social Care Public Health
Health and Wellbeing Board
The main determinants of health
Public health is the art and science of preventing disease, prolonging life andpromoting healththrough theorganised efforts of society
New responsibilities
In April 2013, a range of statutory public health functions, budgets of approximately £21M and about 50 staff transferred from the local NHS to the County Council.
‘Local authorities undertaking public health duties conferred on them by the 2012 Act are still part of the comprehensive health service’
Mix of business continuity – and innovation
What do we do? Public health intelligence – getting the
needs analysis and evidence right. Annual Director of Public Health Report
Health improvement - promoting health in partnership with a range of organisations. Commissioning e.g. health checks,
sexual health services Provision e.g. smoking cessation
services, Travellers health team Partnership working
Figure 2: Trend in male life expectancy
Cambridgeshire district - Trend in male life expectancy at birth
70
72
74
76
78
80
82
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Year
Dir
ectl
y ag
e st
and
ard
ised
rat
e p
er 1
00,0
00
Cambridge City
East Cambridgeshire
Fenland
Huntingdonshire
South Cambridgeshire
England
Source : Compendium of Clinical and Health Indicators, nchod, July 2010
What do we do?Health protection – including
protection from communicable disease and other hazards promote joint planning provide surge capacity
Health and care public health – advise how to achieve the best population health outcomes and prioritise resources. health advice to the Council public health advice service to the
Clinical Commissioning Group
Public Health Outcomes
Four outcome domains Improving the wider determinants of health Health improvement – lifestyle behaviours
and choices Health protection Healthcare public health and preventing
premature mortality
Health and Wellbeing Board The Cambridgeshire Health and Wellbeing Board
(HWB) and Network brings together leaders from local organisations which have a strong influence on health and wellbeing, including the commissioning of health, social care and public health services.
Its focus is on securing the best possible health and wellbeing outcomes for all residents.
Members:Cambridgeshire County Council
Members Cllr Tony Orgee – Cabinet Member for Health and Wellbeing (C) Cllr Fred Yeulett – Cabinet Member for Adult Services (C) Cllr Lucy Nethsingha (LD) Cllr Sandra Rylance (UKIP) Cllr Joan Whitehead (L)
Officers Adrian Loades – Executive Director, Children, Families and Adults
Services Dr Liz Robin – Director of Public Health Chris Malyon – Head of Finance (Section 151 Officer)
District Councils
South Cambridgeshire District Council – Cllr Sue Ellington
Huntingdonshire District Council – Cllr Richard West
Cambridge City Council – Cllr Sarah BrownFenland District Council – Cllr Ralph ButcherEast Cambridgeshire District Council – Cllr
Kevin Ellis
C&P CCG
Dr Neil Modha - Chief Clinical OfficerDr David Roberts - GP Member
Healthwatch CambridgeshireRuth Rogers – Chair of Healthwatch
NHS England – Area TeamMargaret Berry – Director of Nursing and Quality
HWB
Overview & Scrutiny
FenlandLocal Health Partnership
Children’s Trust
Voluntary SectorHunts
Local Health Partnership
City and S. Cambs
Local Health Partnership
East Cambs Local Health Partnership
Very local group
“Twin Hatted” Board Members
Intel / Info / CommsCommissioning
District Council Members
Forum
Clinical Commissioning
Group
South Cambs Local Health Partnership
FenlandLocal Health Partnership
HuntsLocal Health Partnership
Cambridge City Local Health Partnership
East Cambs Local Health Partnership
Power/function Legal reference
Responding to consultations about commissioning plans issued by clinical commissioning groups in connection with Section 26 of the Health and Social Care Act 2012.
Section 26, Health and Social Care Act 2012.
Responsibility for encouraging persons who arrange for the provision of any health or social care services in the Council’s area to work in an integrated manner
Section 195, Health and Social Care Act 2012.
Responsibility for providing any advice, assistance and support it thinks appropriate for the purpose of encouraging the making of arrangements under Section 75 of the National Health Service Act 2006.
Section 195, Health and Social Care Act 2012.Section 75, NHS Act 2006.
Responsibility for preparing the Joint Strategic Needs Assessment (JSNA)
Section 116, Local Government and Public Involvement in Health Act 2007.Section 196, Health and Social Care Act 2012.
Responsibility for preparing the Joint Health and Wellbeing Strategy.
Section 116A, Local Government and Public Involvement in Health Act 2007.Section 196, Health and Social Care Act 2012.
.
www.cambridgeshirejsna.org.uk
Number and proportion of people age 65 years and over, Cambridgeshire, mid 2011 population estimates
Total(aged 65+)
Number 30,700 23,100 18,900 14,600 9,100 5,000 101,400Proportion 30.3% 22.8% 18.6% 14.4% 9.0% 4.9% 100%
90+Population 65-69 70-74 75-79 80-84 85-89
Source: ONS mid 2011 population estimates
Life expectancy at age 65 in Cambridgeshire, 2006-2008
Additional years of life after 65
95% Confidence Intervals
Additional years of life after 65
95% Confidence Intervals
Cambridge City 17.5 (17.1 - 18.0) 20.6 (20.1 - 21.0)East Cambridgeshire 18.7 (18.2 - 19.2) 21.7 (21.2 - 22.1)Fenland 17.4 (17.0 - 17.8) 20.0 (19.6 - 20.4)Huntingdonshire 18.2 (17.8 - 18.5) 20.9 (20.6 - 21.3)South Cambridgeshire 19.6 (19.2 - 20.0) 21.9 (21.6 - 22.3)England 17.7 20.4
Males Females
Source: Older People's Health and Wellbeing Atlas produced by the West Midlands Public Heath Observatory on behalf of the Public Health Observatories in England. http://www.wmpho.org.uk/olderpeopleatlas/atlas/atlas.html
NHS Cambridgeshire and NHS Peterborough Emergency bed days by age group 2011/2012
0
10,000
20,000
30,000
40,000
50,000
60,000
Under1
01-04 05-09 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90+
Nu
mb
er o
f b
ed d
ays
Age band
NHS Cambridgeshire and NHS PeterboroughEmergency bed days by agegroup 2011/12
Source : Admitted Patient Care Commissioning Data Set, NHS Cambridgeshire
Source: APC CDS Serco and quarterly Exeter downloads, Serco. Acute hospitals only.
Falls Emergency Admissions and Bed Days 2011/12, Persons 65+[1]
[1] See references 41 and 42 for codes used.
Source: APC CDS Serco and quarterly Exeter downloads, Serco. Bed days – Acute Hospital only.
HWB Strategy
PrioritiesEnsure a positive start to life for children, young people and their familiesSupport older people to be independent safe and well Encourage healthy lifestyles and behaviours in all actions and activities while respecting people’s personal choices Create a safe environment and help to build strong communities wellbeing and mental health Create a sustainable environment in which communities can flourishWork together effectively