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Public Health in Northern Ireland - Dr. Paul Darragh

Learn about Northern Ireland's fully integrated health, social services, and primary care system, equivalent to the rest of the UK NHS. Get insights into funding, demography, and public health initiatives. Discover the challenges and successes in the region's healthcare landscape.

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Public Health in Northern Ireland - Dr. Paul Darragh

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  1. Public Health in Northern Ireland - Dr. Paul Darragh

  2. Public Health in Northern Ireland • Fully integrated Health, Social Services and Primary Care • Equivalent services to rest of UK N.H.S • Funding via Barnett formula - Scotland, Wales, N. Ireland – own administration • Share land boundary with ROI – cross border issues. • Population 1.7m, significant legacy of deprivation, “troubles” • Overall Health and Social Care budget approx £4.5b • Demography overall aging population • Endeavour to be as self-sufficient as possible in Regional Specialities • Tied into N.I.C.E

  3. Our Political Structures • Government - Assembly – All 5 Political Parties have Ministers • Department of Health and Social Services DHSS • Own minister • Assembly Health Committee • Public Health Agency – sponsor C.M.O in D.H.S.S • Warm, supportive, co-operative relationship • Local Authorities Involvement • Investing for Health / New Public Health Strategy / Joint Action / Shaping wider health policy

  4. Public Health Agency • Director of Public Health, Chief Executive and Director of Nursing (160 Staff) • Cover all 3 domains of Public Health and R&D • Health Protection – HPU and Regional Epidemiology and Policy (9 consultants) • Health Improvement – (65 staff) • Service Development and Screening and Commissioning (19 consultants) • R&D for Health and Social Care in N.I and National projects Processing/Monitoring/Funding

  5. Health Protection • Health Protection unit - ID: Environmental Health and Emergency Planning • Regional Epidemiology - ID: Intelligence Gathering : Interpretation • Policy on HCAI Control : Monitoring / Policing / Hospitals / Community • Prevention Imm. and Vacc. • Working well - Resilience / Sustainability / Cross-Cover - Health protection staff 99% - H5N1; C.Diff; MRSA etc - Pseudomonas – all neonatal units at the same time • Severe weather incidents • Could do better: - Staff still to often Firefighting - Need to improve epidemiology to get ahead of events

  6. Influenza Vaccine UptakeOver 65 yrs & (<65yr at risk groups)

  7. Health Improvement 4 Building Blocks as per Marmot • Give every child and young person the best start in life • Work with others to ensure a decent standard of living • Build sustainable communities • Make healthy choices easier

  8. Adult Smoking By Gender NI from1983 Adult = 16+

  9. Good At Early Years: • New Parent Programme • Family Nurse Partnership • Roots of Empathy • Infant Metal Health Training • Sure Start Primary Care Management of: • BP; Diabetes; Cholesterol; Cardiovascular Disease ; Stroke

  10. Need Help With • Suicide and Mental Health • Obesity • Inequalities

  11. Service Development and Screening Going Well: Commissioning – Local Commissioning (5 LCG’s) and Specialist Commissioning Screening – Progress on all national screening initiatives adult/children - Robust Q.A. in place to support screening Host SpR Training Scheme – Centre of Excellence University and in service training

  12. Service Development and Screening Need Support: Large Scale Reviews - Pathology - Imaging Regional/ Supra-Regional Service development Maintaining Connections with rest of G.B

  13. R&D Unit • Support Local Research Community • Input to National Awarding Bodies • Ensuring Public Health Influence on Research Agenda

  14. Questions ?

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