The Greater Manchester Public Health Programme

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The Greater Manchester Public Health Programme

• Jan Hutchinson
• Director of Public Health - Bolton PCT
• and Chair - GM DPH Meeting

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Audit Commission Review of Health Inequalities
in GM

• Collaboration - moving in the right direction
• Greater Manchester knows what the health
  inequalities issues are
• BUT
• Need a clearer health vision for Greater
  Manchester and need champions
• Concerted, radical action is required to make a
  difference and reduce the health inequalities gap

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Public Health Framework for GM

• Agreed at Association PCT Chief Execs meeting
  December 2005
• Allocates lead responsibilities
• Identifies current and new funding to support
  collaborative arrangements
• Clarified interventions required and focuses on
  levers to effect change
• Director for Health Improvement to manage
  programme
• NB PCTs accountable

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Projects

• 1. CHD
• 2. Smoking
• 3. Cancer
• 4. Mental Health
• 5. Obesity
• 6. Alcohol
• 7. Water Fluoridation
• 8. Prison Offenders and Drugs

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Projects (continued)

• 9. Workforce Development
• 10. Commissioning and EUR
• 11. Commissioning and Public Health Intelligence
• 12. Sexual Health
• 13. Child Health Inequalities
• 14. Community based interventions
• 15. Corporate Citizenship
• 16. Public Health Practice Unit

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The Association of GM PCTs

• Types of Collaboration
• Consultative sharing of information and good
  practice
• Collaborative Structured approach to a
  particular issue
• Collegiate formal position

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Informing Partnerships

• Examples -
• Acute Trust Contribution to Public Health
• Greater Manchester Against Crime
• Directors of Commissioning
• Voluntary Sector
• North West Regional Structures
• Academic Partners

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• Project 1 - CHD/CVD
• DPH Peter Elton (Bury)
• Project Lead - Caroline Hewitt (network)
• Sub Group of Cardiac Network
• Guidance on practice based risk registers
  circulated
• Improved performance

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• Project 2 Cancer
• DPH Jan Hutchinson (Bolton)
• Project Lead - Marilyn Simpson/Network
• Focus on early presentation and improved
  commissioning across pathway
• Cancer Network Sub Group
• Manchester V Cancer social marketing
• Screening Uptake

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• Project 3 Smoking
• DPH Peter Elton (Bolton)
• Project Lead - Pat Karney
• Exceeding Cumulative Smoking Cessation Targets
  across GM
• Why Wait
• Local Implementation Groups
• Counterfeit Tobacco
• Social Marketing Opportunities

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• Project 4 - Mental Health
• DPH Kate Wooff (Tameside and Glossop)
• Project Lead - Chris OGorman (Network)
• GM Suicide Prevention Group
• Linked to Regional Work
• Supported by Key Stakeholders GMP, Coroners,
  GMPTE et al
• Linked to University of Manchester
• Focus on 7 day follow up and audit

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• Project 5 - Obesity
• DPH Julie Higgins (Salford )
• Project Lead - Marilyn Simpson
• GM Obesity Steering Group (multi agency)
• GM Obesity leads group
• Additional analytical capacity
• Commissioning specification following NICE
  guidance
• But

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• Project 6 Alcohol
• DPH Alan Higgins (Oldham)
• Project Lead - Marilyn Simpson
• North West Regional Alcohol Summit tomorrow
• Work to understand added value of national,
  regional, GM and local effort

15

• Projects 7-16
• Potential Fluoridation North West
• GM Reducing Re-offenders Plan
• (Whole) Workforce Development
• Effective Use of Resources
• Public Health Intelligence Capacity

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• Projects 7-16 (cont.)
• Sexual Health
• Reducing Infant Mortality
• Community Based Interventions
• Public Health Practice Unit

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Corporate CitizenshipLinks between health and
sustainable development

• Social factors
• isolation, poor education, fear of crime,
  disrupted family life, unhappiness
• Economic factors
• Poverty, joblessness, powerlessness, insecurity
• Environmental factors
• Air pollution, contaminated water, poor food
  supplies, heavy road traffic, dislocated
  neighbourhoods, poorly designed buildings,
• Effects of climate change
• (Slide from Sustainable Development Commission)

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Conclusions

• Programme of Work
• Early Days but showing delivery
• Work with you
• Effective GM DPH Forum

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Thank-youJan.Hutchinson_at_bolton.nhs.ukWill.Blan
damer_at_alwpct.nhs.uk