Keynote address

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Keynote address launch of the Immunisation
Strategy Dr. Cerilan Rogers Director National
Public Health Service for Wales
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Structure of the new NHS Wales

• 5 Health Authorities abolished
• Replaced by
• 22 Local Health Boards (LHBs), coterminous with
  Local Authorities
• Health Commission Wales (HCW)
• National Public Health Service (NPHS)
• Business Services Centre (BSC)

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NPHS Purpose

• NPHS is not itself responsible for statutory
  functions
• Provides expertise, support and advice to Local
  Heath Boards, Local Authorities, WAG and other
  bodies to fulfil statutory and other functions
• Public Protection (including Child Protection and
  communicable disease control Proper Officer
  role)
• Promotion of Health and Wellbeing
• Needs Assessment (including for Health, Social
  Care Wellbeing Strategies)
• Advice on Evidence Based Practice
• Policy and Strategy Development

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NPHS Structure

• National Director
• Three Regional Directors of Public Health
• Director of Infections Communicable Diseases
• Public Health Directors and Public Health Teams
  supporting each LHB and Local Authority
• All Wales Teams in specialist fields
• Most staff have a local and an all Wales role

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NPHS Teams

• Local Public Health Teams
• To be reviewed (project about to start)
• All Wales Specialist Teams
• Infection Communicable Disease Team
• Microbiology laboratories (former PHLS in Wales)
• Communicable Disease Control Teams
• Communicable Disease Surveillance Centre
• Vulnerable Adults
• Children Young People (including Child
  Protection Teams)
• Risk Factors and Chronic Disease
• Environmental Public Health
• Policy, Commissioning Health Service
  Development
• Information Analysis
• Library Knowledge Management
• Dental Public Health
• Pharmaceutical Public Health
• Primary Medical Care Advice
• Primary Care Information Quality

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North Wales Immunisation Strategy and Action Plan
                      North Wales Childhood
Immunisation Strategy                   October
2002  
 
 
 
 
 
 
 
 
 
 
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• Why is there a need for a strategy?
• Restructuring
• Emerging clinical governance agenda
• GMS and Pharmacy contracts
• Falling uptake of childhood immunisations

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LHB uptake figures 01.04.03 30/06/03(aged 2
years)
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Initiatives

• Processes and arrangements
• Child Health records
• Exeter system
• Flintshire LHB
• Wrexham LHB

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MMR uptake rates 01/04/03 30/06/03
Combined uptake for Flintshire and Wrexham
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Issues associated with MMR

• Training and education
• Vaccine scares and the professional response
• Effects on public opinion
• Involvement and impact of the media
• Parents and the 2nd dose of MMR
• MMR vs single antigens
• Re-emergence of measles and mumps

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Projects

• Interactive MMR website
• MMR Mythbuster pack 2nd edition
• Single MMR antigen leaflet
• Lay group panel
• Immunisastion delivery and general practice
  characteristics
• Audit project

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Policy development and implementation

• Patient Group Directions (PGDs)
• Training and Education
• BCG
• Anaphylactic kits
• Cold chain advisory document
• Audit of needlestick policies

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Dr. Cerilan Rogers Director National Public
Health Service for Wales