Duncan Selbie’s Friday message – 17 May 2019


Expensive everybody

Well being as a steadiness sheet asset, not a price

The forthcoming Inexperienced Paper on Prevention is a superb alternative to additional the financial case for investing in prevention because the arbiter of wealth creation. We all know that well being begets wealth and securing the well being of the individuals is a UK funding in our financial future, relatively than a price to be borne. This after all has relevance to the NHS in avoiding future prices however is much more to do with creating jobs that native individuals can get, respectable housing and creating social worth throughout communities. Put extra merely the significance to good well being of getting an honest job, residence and friendship and so an entire of civil society duty.

This isn’t an ethical or well being and social care price concern alone, as vital as these are, however an crucial for the UK relatively than a selection.

That is the best time to rethink how we put money into prevention and an vital contribution to it is a joint report from PHE and the Chartered Institute of Public Finance and Accountancy (CIPFA) printed on Tuesday. Public companies are nicely acquainted with the rigours of the Prudential Code for assuring the worth for cash and social worth of capital investments, and any reader of steadiness sheets can inform at a look whether or not an organisation is investing in or degrading its infrastructure. No such evaluation might be made as we speak on the steadiness of reactive and preventative income spending and this work with CIPFA, the accountancy normal setting physique for public companies, is a primary, daring step in direction of this being a requirement for future monetary reporting. Learn the report and our blog to seek out out extra.

Upcoming Well being Issues launch

The significance of investing within the prevention of poor well being by taking a life course strategy can also be the main focus of the upcoming version of Well being Issues, PHE’s skilled useful resource. Launching with a teleconference on Thursday subsequent week, Professor John Newton can be joined by a panel of consultants to steer an interactive query and reply session. You possibly can sign up to join the teleconference.

Information research on the results of the tobacco show ban

For greater than 4 years tobacco merchandise have been banned from store sale shows throughout the UK. Outcomes from the first study on the effects of this have now been printed and recommend that fewer 11 to 16 12 months olds have taken up smoking because it got here into impact, and that kids are much less aware of branding. There has additionally been a gentle decline within the acceptability of smoking. The research by the College of Stirling exhibits that this coverage is working and safeguarding younger individuals as extra flip their backs on smoking.

Psychological Well being Consciousness Week

This week has been Mental Health Awareness Week and the vary of exercise has been spectacular, with the profile greater than ever earlier than, which is sweet information for serving to to make progress. The week was kicked off by a report from the Mental Health Foundation, which tells us that over a 3rd of adults within the UK have felt anxious or depressed due to considerations about their physique picture, and better physique dissatisfaction has additionally been related to poorer high quality of life, psychological misery, and the chance of unhealthy consuming behaviours and drug and alcohol abuse. Be taught extra about this of their body image report.

PHE has been working with the psychological well being third sector, teams representing these with lived expertise of psychological sickness, the Royal School of Psychiatrists, the NHS and plenty of others in creating a brand new digital platform for individuals experiencing stress, low temper and nervousness amongst different widespread psychological well being issues. This groundbreaking programme can be rolled out nationally later this 12 months.

The WHO’s new world pointers on decreasing dementia threat

The UK has greater than 800,000 individuals with dementia and set to rise because the inhabitants ages. It is a situation for which there’s at the moment no remedy, which has a devastating affect on household and associates as nicely after all on the individual dwelling with the situation. These aged over 55 now cite dementia as their biggest future well being concern surpassing their fears of most cancers.

With a 3rd of instances considered preventable, the World Well being Group (WHO) this week printed its first ever global guidelines on how individuals can scale back their threat of getting dementia. The steering, half funded by PHE and with our technical help, assesses the proof of what works for reducing threat, together with staying energetic, stopping smoking and consuming sensibly, and selling the reality that what is sweet for the center can also be good for the mind. In England, we actively promote dementia threat discount via the NHS Well being Examine programme and have produced for the NHS and the general public a range of resources in collaboration with Alzheimer’s Society and Alzheimer’s Analysis UK.

European Testing Week

And at last, as we speak marks the start of European Testing Week, a world marketing campaign to get extra individuals examined for hepatitis B, hepatitis C and HIV. The UK has a lot to be pleased with in tackling these infectious ailments and is likely one of the first international locations to fulfill the UNAIDS 90-90-90 targets. A decline in liver transplant registrations (53% fall by 2017, when in comparison with pre-2015 ranges) and precise liver transplants undertaken (39% fall, when in comparison with pre-2015 ranges) for hepatitis C-associated cirrhosis and hepatocellular carcinoma has been noticed, mixed with a fall in deaths from hepatitis C-related extreme liver illness of 16% by 2017 from 2015, indicating that we’re on nicely on observe to fulfill the WHO targets for morbidity and mortality to remove hepatitis C as a public well being menace.

Nevertheless, with 7,800 individuals dwelling with HIV within the UK who’re undiagnosed, and 113,000 dwelling with hepatitis C in England, it’s crucial that testing, analysis and linkage to care maintain tempo with deliberate remedy targets, and focused reductions in prevalence. We’re working with the NHS and native authorities to maintain this excessive on everybody’s radar.

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