Duncan Selbie’s Friday message – 10 May 2019

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Pricey everybody

I spent Wednesday morning within the North West with the fabulous group in St Helens, the place properly earlier than the idea was included within the NHS Lengthy Time period Plan, that they had enacted built-in, place based mostly working just because this was the correct factor to do. Persons are on the centre of all providers right here, with the medical accountable officer for the CCG additionally the Council strategic director for folks. This brings collectively NHS commissioning with kids’s and grownup social care, public well being and academic enchancment and so they have realised that by leaving organisational self-interest on the door, they’ll work collectively to win collectively.

Good management is aware of that the failure of anybody service would pull the others down, and in St Helens they’re safeguarding in opposition to this. They’ve an intensely proud previous in mining and glass and whereas their well being profile displays the lack of these industries, they’re creating a brand new narrative and are seeing regular enchancment in numerous well being indicators and main new investments in jobs and houses. That is precisely the joined up, future proofing and good working we have to encourage and help in every single place and an enormous properly performed to them for displaying the best way.

Allied Health Professionals (AHPs) do critically vital work for the NHS, and throughout native authorities, training, housing, felony justice and the personal sector. With 14 skilled teams of their ranks from paramedics to artwork therapists, they make for the third greatest mixed workforce within the NHS, protecting all medical specialities and final week, the primary ever UK huge public well being strategic framework for AHPs was revealed. All 4 UK nations have labored collectively to provide this and it emphasises motion to handle well being inequalities and the broader determinants of well being, areas AHPs have confidently labored on for a few years.

The most recent replace to the Public Health Outcomes Framework (PHOF) has now gone reside, protecting knowledge for 20 indicators. The PHOF focuses on how lengthy folks reside, and the way properly they reside at every stage of life and this replace, for instance, contains knowledge on weight problems which present that the share of adults categorised as obese or overweight in 2018 has elevated to 62%, up from 61.3% the earlier 12 months and that preventable sight loss has improved, significantly for circumstances attributable to age-related macular degeneration. You’ll be able to learn extra in our blog.

Individuals who sleep tough die on common 30 years youthful than the final inhabitants and the Authorities’s Rough Sleeping Strategy goals to halve homelessness by 2022 and finish it by 2027. Lots of these experiencing tough sleeping have important substance misuse and psychological well being wants and there may be proof that they face challenges and boundaries in accessing well being providers. PHE is allocating £1.9 million funding from the Division of Well being and Social Care to partnerships between native authorities and CCGs to check fashions that assist to enhance entry to well being providers for folks experiencing these issues. You may also discover out extra in regards to the necessities for the funding and how to apply here.

Poor air high quality is a public well being emergency and tackling it will require a variety of interventions. Secretary of State for Well being and Social Care Matt Hancock MP has as we speak commissioned PHE to refresh the evaluation of the affect of polluted air on the UK’s well being by modelling what number of circumstances of illness the Clean Air Strategy might forestall and the place extra consideration might be wanted. As he has rightly mentioned, our well being is unavoidably formed by the atmosphere we reside in and the latest Clear Air Technique, underpinned by PHE’s 2018 proof evaluation, units out some daring steps to enhance air high quality and PHE’s extra work will help its goal of a clear air technology.

And at last, Ramadan Kareem to our Muslim colleagues and mates.

Greatest needs

Duncan

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