Launching the Middlesbrough Health and Wellbeing Strategy

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Launching the Middlesbrough Health and
Wellbeing Strategy Edward
Kunonga Director of Public Health Middlesbrough
Borough Council and NHS Middlesbrough
Launching the Middlesbrough Health and Wellbeing
Strategy
Launching 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 907913

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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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Middlesbrough
Ormesby Bank
Life expectancy
Pallister
74
75
Park End
72
77
Marton
79
86
Nunthorpe
82
84
The gradient of inequalities in health
Life expectancy reduces by 2 years for every mile
from suburb to centre
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Access to health and social care services

• Inequalities in life expectancy, deaths and
  disease

Treatment, early interventions, prevention,
social care services
Lifestyle and behaviour risk factors
Smoking, obesity, alcohol, physical activity,
nutrition
Social causes
Poverty, employment, housing, crime, occupation
and education, welfare reforms and the recession
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Social determinants of health
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