Practical public health for the geriatrician
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"Practical Public Health for the Geriatrician". Paul Johnstone PHE Regional Director North of England. What is Public Health? Facts and figures Older people focus How is PH organised? How to get involved and work on Dementia. What is public health?.

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Practical public health for the geriatrician

"Practical Public Health for the Geriatrician".

Paul Johnstone

PHE

Regional Director North of England


Practical public health for the geriatrician

  • What is Public Health?

  • Facts and figures

  • Older people focus

  • How is PH organised?

  • How to get involved and work on Dementia


What is public health

What is public health?

The Faculty defines public health as:

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


Public health

Public health:

  • is population based not patient individual base

  • emphasises collective responsibility for health, its protection and disease prevention

  • recognises the key role of the state, linked to a concern for the underlying socio-economic and wider determinants of health, as well as disease

  • emphasises partnerships with all those who contribute to the health of the population.


Determinants of health

Determinants of Health


Three domains of public health practice

Three domains of public health practice:

Health Improvement

  • Inequalities, Education, Housing, Employment

  • Family/community

  • Lifestyles

  • Surveillance and monitoring of specific diseases and risk factors

    Improving services

  • Clinical effectiveness, Efficiency

  • Service planning

  • Audit and evaluation, Clinical governance

  • Equity

    Health Protection

  • Infectious diseases

  • Chemicals and poisons, Radiation

  • Emergency response

  • Environmental health hazards


Public health and healthcare success stories

Public health and healthcare success stories

Data Source: Mortality in England and Wales Average Life Span, December 2012

A tale of two populations- 26th Sept 2013


Practical public health for the geriatrician

Data Source HSE 2011 Volume 1 HSCI

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Practical public health for the geriatrician

Greatest reduction in CVD

Data source Avoidable Mortality in England and wales 2011 ONS may2013

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Public health working with healthcare professionals reducing stillbirths

Public health working with healthcare professionals- reducing stillbirths.


Unfinished business inequalities

Unfinished business- inequalities

Data source: ONS Inequalities in LE and DFLE , 2001-2004 to 2007-2010

Source: ONS Statistical bulletin Life expectancy at birth and at age 65 for local areas in England and Wales, 2009-11

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Practical public health for the geriatrician

Increasing retirement age will not increase tax revenue if people are too ill to work

By the time retirement age reaches 68, only the richest 10% of people will reach retirement without disability


Years of disability and dependency

Years of disability and dependency


Practical public health for the geriatrician

Unfinished business- obesity

Morbidly obese

83,000

Morbidly obese

96,000

2009

2015

Obese

930,000

Obese

930,000

Healthyweight

870,000

Healthy weight

1.65 m

Obese

1.45 m

Over-weight

1.48 m

Over-weight

1.45 m


Unfinished business primary care

Unfinished Business- primary care prevention

Unfinished business- primary care


Immediate causes of disease burden

Immediate causes of disease burden

Ed AM, Monika

Strategic Review


Leading to the major killers

Top causes of under 75 mortality – 2010

…leading to the major killers.

Raised blood pressure accounts for 50% of all heart disease

Around 86% of lung cancer deaths in the UK are caused by tobacco smoking


Causes of long term disability

Causes of long term disability


Http www wmpho org uk olderpeopleatlas atlas atlas html

http://www.wmpho.org.uk/olderpeopleatlas/Atlas/atlas.html


Practical public health for the geriatrician

  • What is Public Health?

  • Facts and figures

  • Older people focus

  • How is PH organised?

  • How to get involved and work on Dementia


Public health england

Public Health England

“Public Health England exists to serve the system, a system led locally by elected members”

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Phe s national priorities

PHE’s National Priorities

REDUCING PREVENTABLE DEATHS

Helping people to live longer by reducing preventable deaths from

conditions such as heart disease, stroke, cancer and liver disease

REDUCING THE BURDEN OF DISEASE

Increasing healthy life expectancy by tackling conditions which place a

burden on many lives, such as anxiety, depression and back pain

PROTECTING THE COUNTRY’S HEALTH

Protecting the population from infectious diseases and environmental hazards,

including emerging risks and the growing problem of antimicrobial resistance

GIVING CHILDREN AND YOUNG PEOPLE THE BEST POSSIBLE START

Supporting families to give children the best start in life, through working with

health visitors, Family Nurse Partnerships and the Troubled Families Programme

IMPROVING HEALTH IN THE WORKPLACE

Helping employers to facilitate and encourage their staff to make healthy choices


Phe s local presence

PHE’s local presence

  • Four regions, fifteen centres

    • Centres in North:

      • Cumbria and Lancs

      • Cheshire and Mersey

      • Greater Manchester

      • Yorkshire and Humber

      • North East

  • Knowledge Intelligence Teams

    • North West

    • Northern and Yorkshire

  • Other local presence

    • microbiology

      laboratories

    • field epidemiology teams

    • Centre for Radiation, Chemicals and Environmental Hazards units


  • Place based approach to public health

    Place-based approach to public health

    Non-statutory providers*

    NHS providers

    People and communities

    Health and wellbeing boards

    NHSE

    area team

    PHE

    centre

    Local government

    CCGs

    • EPPR

    • Screening and immunisation

    • Offender public health programmes

    • Specialised commissioning

    • Primary care public health programmes and population healthcare

    Public health advice

    *Including voluntary and community sector

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    Practical public health for the geriatrician

    • What is Public Health?

    • Facts and figures

    • Older people focus

    • How is PH organised?

    • How to get involved?


    Http www makingeverycontactcount co uk

    http://www.makingeverycontactcount.co.uk/

    Cross-government narrative on health


    Political

    Political

    Strategic Review


    Practical public health for the geriatrician

    Local Govt Funding and Social Care

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    Dementia

    Dementia

    National Executive Meeting 18 February 2014


    Why is dementia an area of focus

    Why is dementia an area of focus?


    Practical public health for the geriatrician

    Dementia Friends Movement in Partnership with Alzheimer's Society in 2014/15

    :


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