The NHS contribution to public health the PHE perspective. Professor John Newton

Transcription

1 The NHS contribution to public health the PHE perspective Professor John Newton

2 The challenges facing the NHS? Then Aging population Increasing patient expectations Advances in medical technology Now Aging population Lifestyle illnesses HCAIs Antimicrobial resistance Economic austerity Social isolation Health inequalities Unwarranted clinical practice variations Structural problems in health care provision Climate change 2 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective

3 No! Does public health and prevention enjoy a high enough profile in the debate on the health service and the growing demands on it? 3 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective

4 4 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective

5 How can the health systems in the UK learn from one another when it comes to effective public health strategies? Health care making a greater contribution of to public health Example: Making Every Contact Count NHS Mandate in focusing the NHS on preventing illness, with staff using every contact they have with people as an opportunity to help people stay in good health by not smoking, eating healthily, drinking less alcohol, and exercising more. NHS England leading development of Making Every Contact Count action plan Welcome opportunity to continue and deepen connections between PHE and NHS E as this work continues 5 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective

6 Improving long term conditions management Example: NHS Health Check Targets top 7 causes of premature death, opportunity for step change in tackling vascular disease (over 4 million people in England) Re-energised programme Tools on information governance Tools on quality improvement New digital service (with NHS Choices) NHS England role is critical programme principally delivered through primary care, key issues include Address variation in clinical follow-up and management of individuals (NHS England developing programme of support) Data sharing How can the health systems in the UK learn from one another when it comes to effective public health strategies? 6 The NHS contribution to public health the PHE perspective

7 Variation in identification of long term conditions 7 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective

8 How can the health systems in the UK learn from one another when it comes to effective public health strategies? Integrated pathways Example: End stage renal failure is the second biggest specialised commissioning cost for NHS England. Opportunities for PHE to work with NHS England at multiple pathway stages. Obesity Long-term conditions Hypertension Dialysis for End stage renal failure Diabetes 8 The NHS contribution to public health the PHE perspective

9 Sustainable health and social care We need to. deliver joined up care that focuses on enabling people to lead normal lives rather than waiting for them to be ill. Stephen Dorrell on stepping down as Chair of the Health Select Committee 9 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective

10 What role does government have in changing behaviours and improving health? High quality nursery education for low income families Reducing the exposure of pregnant women and children to tobacco smoke Reformulation of food and drink products to reduce added sugar and salt and reductions in intake Minimum Unit Pricing on Alcohol (50p) An entitlement to Personal, Social and Health Education (PSHE) Protection of public health as an objective in the Licensing Act (2003) Compulsory registration for all tobacco retailers Smoke free prisons estate A new dental contract with a focus on prevention 10 The PHE NHS briefing contribution for NIHR to public Board health 2013 the PHE perspective