Launching the Middlesbrough Health and Wellbeing Strategy Edward Kunonga Director of Public Health
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Launching the Middlesbrough Health and Wellbeing Strategy
Edward KunongaDirector of Public Health
Middlesbrough Borough Council and NHS Middlesbrough
Launching the Middlesbrough Health and Wellbeing StrategyLaunching the Middlesbrough Health and Wellbeing Strategy
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Public health domains and the role of the public health team
S. Griffiths, Jewell T and Donnelly P (2005). Public health in practice: the three domains of public health. Public Health Volume 119, Issue 10, October 2005, Pages 907–913
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Examples of current work Health Improvement• developing a strategy for improving health and reducing health inequalities• Tackling the wider determinants of health
Health Protection• Ensuring there is a coordinated local multi-agency health protection plan to
protect the local population: includes communicable disease control, EPRR, major incident planning, seasonal plans (winter and heat wave)
• Liaising and advising on environmental threats including pollution, noise and contaminated land
Health services public health• Prevention and early detection of disease – finding the missing thousands
(cancer and long term conditions) • Supporting the commissioning of high quality, equitable health and social
care services
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Models of Practice for DPH roles – Elson
• the expert• the critical friend• the adviser• the provider• the catalyst• the community advocate and leader
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Key public health issues in Middlesbrough
• Health inequalities – social class, ethnicity, disability, mental health status
• Lower health outcomes for the level of investment • Lifestyle risk factors – obesity, alcohol, teenage
pregnancy • Rising healthcare costs and increased demand • Research and technology – new treatments • Welfare reforms and the economic recession • Aging population – with complex co-morbidities • Re-emerging and new infections
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Ormesby Bank
Nunthorpe
Marton
Park End
Pallister
The gradient of inequalities in health
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Life expectancy reduces by 2 yearsfor every mile from suburb to centre
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Lifeexpectancy
Middlesbrough
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Access to health and social care services
Inequalities in life expectancy, deaths and disease
Lifestyle and behaviour risk factors
Social causes
Smoking, obesity, alcohol, physical activity, nutrition
Poverty, employment, housing, crime, occupation and education, welfare reforms and the recession
Treatment, early interventions, prevention, social care services
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Social determinants of health
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