Bringing Public Health to the Citizen and the CommunityA Vision for Public Health Wales

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Bringing Public Health to the Citizen and the
Community-A Vision for Public Health Wales

• Bob Hudson Chief Executive Public Health Wales
  NHS Trust

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Public Health Wales

• Live on October 1st 2009
• Pre 2003 Health Authority based
• Created by merger of NPHS, WCfH, Screening
  Services, CARIS and WCISU
• Public Health Research Unit report 2006
• Unified Public Health Organisation Project 2008
• See in context of wider aims of reformed NHS

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Public Health Wales

• Budget of c 70m
• Approx 1200 staff
• gt75 resource is in screening and health
  protection
• Based on multiple sites across Wales
• Complex organisation, matrix approach, highly
  networked and embedded
• Stakeholder driven-Health Boards, Local
  Authorities, WAG and others
• Accountability to WAG

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What do we do?

• 5 national screening programmes
• Cervical
• Breast
• New born hearing
• Ante natal
• Bowel

• New developments
• AAA
• New born blood spot
• Diabetic retinopathy
• Genetic screening e.g. Breast
• n.b. all evidence based, balance risks and
  outcomes at population level

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What do we do?

• Health protection, PHLS, Microbiology,
  Communicable disease
• Health improvement (promotion) national and local
  programmes and teams
• Health care quality epidemiology, planning,
  service reviews, prioritisation,
• 1000 lives collaborative -harm, waste, variation
• Health intelligence Observatory function
• Institute RD, Professional Development
  capacity building cross sectors

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What do we do?

• Safeguarding-child protection
• Disease programmes
• Specialist teams e.g. dental, pharmaceutical,
  primary care, vulnerable groups
• Thematic communities, environment, behaviours
• Networks- Physical activity, nutrition, mental
  health, sexual health, global health

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Major Challenges

• Public health- inequalities gap widening,
  demography, lifestyle, environmental etc
• National and international comparisons
• Health and social care system- money,
  expectations, delivering change, reducing harm,
  waste and variation
• Expectations on Public Health Wales, multiple
  stakeholders, limited resource

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Our Healthy Futures - Themes

• Health through the life course
• Reducing inequity in health
• Healthy sustainable communities
• Prevention and early intervention
• Health as a shared goal
• Stronger evidence and monitoring progress
• To achieve improved quality and length of life
  and fairer outcomes

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Priorities

• Reducing smoking prevalence
• Increasing participation in physical activity
• Reducing harm from alcohol and drugs
• Reducing teenage pregnancy rates

• Reducing accidents and injuries
• Improving mental wellbeing
• Improving health at work
• Increase vacc imm uptake
• Reduce health inequity

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Developing a Vision for Public Health Wales

• A mutual process
• We are not the Unified System but we can make it
  happen
• Objective voice
• Stronger focus on delivering change
• Expert, knowledge based
• Multi disciplinary delivery
• Shine a light on population health and health
  system problems

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Developing a Vision for Public Health Wales

• Building capacity across system
• Helping Wales deliver better health outcomes
• Helping to deliver wider goals of WAG
• Helping our system to compare with worlds best in
  terms of cost and quality
• Helping people of Wales understand health
  issues/risks and to manage own health more
  effectively
• Delivering high quality services ourselves

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Working Together

• Ministerial commitment
• Tripartite Heads of Agreement
• Appointment of Directors of Public Health
• Maintenance of statutory duties at Local
  Authority level
• Development of locality structures in Health
  Boards-focus on integrated system and developing
  out of hospital care
• Centrality of partnership approach to joined up
  problems

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Conclusion Public Health Wales aims to be an
effective partner and a critical friend. We
cannot navigate a course through the next decade
by following traditional approaches We have to
help create the knowledge base for change and to
develop the skills and capacity to deliver
change in conjunction with our partners