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Environmental Health and Public Health Peter Carey Environmental Health Manager 4 th December 2013. North Herts District Council www.north-herts.gov.uk. My presentation. The role environmental health can play in the new public health agenda The opportunities and challenges.

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North herts district council north herts uk

Environmental Health and Public Health Peter CareyEnvironmental Health Manager4th December 2013

North Herts District Council www.north-herts.gov.uk


North herts district council north herts uk

My presentation

  • The role environmental health can play in the new public health agenda

  • The opportunities and challenges

North Herts District Council www.north-herts.gov.uk


Themes

Themes

  • Perspective

  • Priorities

  • Organisations

  • Resources

North Herts District Council www.north-herts.gov.uk


Perspective

Perspective

  • Pre 19th Century - little Government involvement in public health

  • Industrial revolution - overcrowding, poor housing, bad water and disease

  • Major cholera outbreaks

  • Government accepted the case for action

North Herts District Council www.north-herts.gov.uk


North herts district council north herts uk

Public measures

  • 1834 Poor Law Amendment Act

  • 1848 The Nuisances Removal and Diseases Prevention Act

  • 1848 Public Health Act

  • 1853 Vaccination Act

  • 1875 Public Health Act

  • 1894 Local Government Act

North Herts District Council www.north-herts.gov.uk


North herts district council north herts uk

Individual measures

  • 1906 Power for LAs to provide free school meals

  • 1907 School medical examinations for all children

  • 1908 Old age pensions introduced

  • 1911 National Insurance introduced

North Herts District Council www.north-herts.gov.uk


Current environmental health roles

Nuisance

Housing conditions inc overcrowding

Drinking water quality

Food safety

Health & safety at work

Infectious disease control

Air quality

Contaminated land

Tobacco control (smoke free premises)

Noise control

Skin piercing

Current environmental health roles

North Herts District Council www.north-herts.gov.uk


Priorities

Priorities

  • HCC priorities

  • District Council priorities

  • NHS priorities

  • Herts H&W Strategy priorities

  • Wider determinants of health

  • Public Health Outcomes Framework for England

North Herts District Council www.north-herts.gov.uk


Health wellbeing strategy priorities

Reducing the harm caused by alcohol.

Reducing the harm from tobacco.

Increasing physical activity and promoting a healthy weight.

Fulfilling lives for people with learning disabilities.

Living well with dementia.

Enhancing quality of life for people with long term conditions.

Supporting carers to care.

Helping all families to thrive.

Improving mental health and emotional wellbeing.

Health & Wellbeing Strategy priorities

North Herts District Council www.north-herts.gov.uk


Wider determinants of health

Wider determinants of health

North Herts District Council www.north-herts.gov.uk


Public health outcomes framework 2013 2016

Public Health Outcomes Framework 2013-2016


Organisations

Organisations

North Herts District Council www.north-herts.gov.uk


North herts district council north herts uk

North Herts District Council www.north-herts.gov.uk


North herts district council north herts uk

  • HCC

  • CCGs (x2)

  • District/Borough Councils (x10)

  • Parish/Town Councils

  • NHS Trusts

  • NHS Local Area Team

  • PHE South Midlands & Herts

  • Third Sector

North Herts District Council www.north-herts.gov.uk


Resources

Resources

  • Budgets

  • Economic climate

  • Commissioning

North Herts District Council www.north-herts.gov.uk


Case studies

District Council’s Network

“District Action

on Public Health”

Case studies

North Herts District Council www.north-herts.gov.uk


Wealden dc food safety

Wealden DC – food safety

  • Improving food knowledge at lunch clubs

  • Over 20 lunch clubs across

  • Target audience older people (but not exclusively)

  • FSA grant applied for to support clubs

  • Training and other support offered with regard to hygiene and nutrition

  • Half day training sessions and handbooks

North Herts District Council www.north-herts.gov.uk


Chichester dc falls prevention

Chichester DC – falls prevention

  • Statutory duty to deal with hazards in homes

  • Accident notifications required under HSW74

  • Chichester 2008, most serious accident report notifications related to falls of residents in care homes

  • Half day training session developed for care home supervisors to increase knowledge of how to carry out falls prevention assessment.

  • Delivered in conjunction with local NHS Trust

  • 40% drop in care home accident reports since training

North Herts District Council www.north-herts.gov.uk


North herts dc tobacco control

North Herts DC – tobacco control

  • Health Act 2006 – the smoking ban

  • Was compliance as good as reported?

  • Focus on business engagement

  • Taxi businesses

  • Vehicle checks with the Police

  • Referrals to HSSS

North Herts District Council www.north-herts.gov.uk


Conclusion

Conclusion

  • Detailed knowledge of public health issues

  • Practical and adaptable officers

  • Local knowledge of our communities and local public health threats

  • Statutory powers

North Herts District Council www.north-herts.gov.uk


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