Public Health in Islington
Voluntary and Community Sector
Dialogue event
Julie Billett
Jonathan O'Sullivan
3 June 2013
Life expectancy
 Islington men and women die
younger in Islington when
compared to the rest of England.
 Whilst life expectancy in Islington
is increasing. Islington men have
the lowest life expectancy in
London.
 In Islington the difference in life
expectancy between the best-off
and worst-off is 6.7 years for
men and 4.4 years for women
Islington
England
Islington
England
76.0 years 78.6 years 81.4 years 82.6 years
The contribution of lifestyle risk factors
to long term conditions and early death
in adults.
Source: WHO popi
3 key ‘pillars’ of public health
health
improvement
• Health promotion & disease prevention programmes
• Influencing lifestyles/behaviours & the wider determinants
of health
• Empowering and supporting communities to promote
health & reduce inequalities
health
protection
• Surveillance, monitoring & analysis of the population’s
health & wellbeing
• Investigating and managing infectious, environmental and
other risks to health
• Emergency planning and preparedness
health services
• Public health advice to support service planning &
strategic commissioning – health needs assessment,
effectiveness and efficiency of interventions and services,
equity
• Service audits & evaluations
New statutory responsibilities of
LAs from 1st April 2013
The Act places duties on local authorities spanning all 3 domains:To promote and improve the health of their population (health improvement)
To ensure robust plans are in place to protect the local population (health protection)
To provide health advice to NHS commissioners (healthcare public health)
Mandated services
• Sexual health services (excluding HIV
treatment)
• NHS Health Checks
• Health protection - to ensure plans are in
place to protect the health of the
population and to have a supporting role
in infectious disease surveillance and
control and in EPPR
• Public health advice to Clinical
Commissioning Groups
• National Child Measurement Programme
Non-mandated services
To provide or commission a wide range of other
services to improve and protect the health of the local
population and reduce health inequalities. Includes:
• alcohol and drug misuse services
• public health programmes for children aged 5-19
• stop smoking services and tobacco control
• interventions to prevent and manage obesity
• Physical activity
• Public mental health programmes
• Health at work
• Nutrition and healthy eating
• Community safety, violence prevention & social
exclusion
• Dental public health
• Seasonal mortality interventions
Public Health
England
National
Commissioning
Board
Clinical
Commissioning
Groups
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CCGs will be responsible for
commissioning:•
Emergency and urgent
care
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Community health services
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Maternity services
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Elective hospital care
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Rehabilitation services
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Older people’s healthcare
services
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Healthcare for children
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Other services
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Duties include duty to
participate in HWBBs and
to have regard to health
improvement and health
inequalities
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Executive agency of the
DH
Aims to support the public
health system as a whole
and do those things that
would not be practicable to
replicate in each local
authority
Provide services,
expertise, information and
advice in a way that is
responsive to local needs
Support PH capacity
building and professional
development
Nationally 4 x Hubs (1 for
London) and local units (1
for NC & NE London)
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Arms length nondepartmental body
Commissions specialist
services and primary care
Develops and holds CCGs
to account
Key leadership role in
improving outcomes and
driving up quality
Oversees planning for
emergency resilience and
leading the NHS
operational response to
emergencies
Public health services for
children <5 (health visiting)
Screening and
immunisation programmes
Health and Wellbeing Boards
A statutory function of the local authority.
The means by which the local authorities will deliver
their new duties to improve strategic coordination
across local NHS, social care, children’s services,
public health and other services that directly relate to
health and wellbeing.
Key functions of the Health and
Wellbeing Board
• Assess the needs of the population through the Joint
Strategic Needs Assessment
• Agree and produce a Health and Wellbeing Strategy
• Promote joint commissioning
• Promote integrated provision joining up social care, public
health and NHS services with wider local authority
services
• Ensure best use of resources
• Consider the wider determinants of health
Who is on the board?
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Leader of the Council
Lead Member for Health and Adult Social Services
Lead Member for Children’s Services
Clinical Commissioning Group representation
Borough Director
Director of Housing, Adult and Social Services
Director of Children and Families Services
Director of Public Health
Local Healthwatch representation
What we want to achieve with the VCS
• bringing a wider perspective; reflective of different
localities and communities.
• delivering messages to where they are needed most
• crossing the health and social care boundaries
• drawing together broad experience and expertise
• providing a ‘live’ feed-back loop from experience to
policy
• Greater engagement and involvement on Evidence
Hub/JSNA and JHWS
• Outcomes focussed approach
Islington’s Health and Wellbeing
priorities
Ensuring
every child
has the best
start in life
Preventing
& managing
LTCs to
extend
length and
quality of life
& reduce
health
inequalities
Improving
mental
health and
wellbeing
Delivering high quality, efficient services
within available resources.
Key Achievements
Key Challenges
• Significant reduction in smoking rates
from 32% eight years ago to 22.5%
now. 2nd highest quit rate in London.
• Teenage conception rate has reduced
by 41% from baseline to 34.4 per 1,000.
• Over the past four years the rise in
obesity levels has halted in reception
pupils.
• 91.5% of children aged 2 years
immunised against MMR, which is
above target and the fifth highest rate in
London.
• Breastfeeding rates are at the highest
they have ever been at 77%.
• The NHS Health Checks programme
goes from strength to strength with
10,167 Health checks offered and 7,142
delivered, which is above target.
• Continued increase in the number of
people accessing iCope; 3,523 patients
2011/12, compared to 2,992 in 2010/11.
• Good alcohol licensing arrangements
and policy
• Shisha Pipes, illegal tobacco sales and
Smoke Free Homes and reduce rates of
smoking among BME communities
• Improve access to contraception advice and
services in a range of settings.
• Improve pathways for prevention &
management of obesity in childhood and
adolescence
• Reduce the proliferation of fast food outlets
near schools
• Tackling low rates of immunisation among
BME communities and older children.
• Uptake of cancer screening programmes.
• Increase the % of women booked with
maternity services by 12 weeks + 6 days
• Increase levels of physical activity and
uptake of Exercise on Referral.
• Reduce stigma and discrimination of mental
health problems and promote services to
high-risk groups.
• Reduce alcohol consumption and negative
impact on Islington
What’s on the Evidence Hub?
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Adult care
Children, young people and families
Crime and anti-social behaviour
Demographics
Education and employment
Environment
Health and wellbeing
Housing and homelessness
Local economy
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Summary factsheets
Datasets
Profiles
Strategies
Reports
Insight
Who is it for?
Residents, Council staff, Councillors, NHS, Community and Voluntary
sector and other partners such as schools, police, pharmacies.