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Accident prevention – a leading priority for Public Health?
Hertfordshire Public Health Conference
4th December 2013
Presented by:
Errol Taylor Deputy Chief Executive
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Context
Success of Workplace and Road Safety programmes
Triple dip recession / public sector cuts
Political direction
Deregulation
Localism
Big Society
Restructuring of the NHS
Health & Social Care Bill
Creation of Public Health England
Transfer of many Public Health functions to Local Authorities with ring-fenced Public
Health budgets
RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
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John Snow MD (1813-1858)
RoSPA’s mission is to save lives and reduce injuries
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Problem and solution
RoSPA’s mission is to save lives and reduce injuries
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The balance of NHS doctrines
RoSPA’s mission is to save lives and reduce injuries
Treatment£100 billions
Prevention£5 billions
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RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
*15 year cumulative change in cost to Society using TRL PPR483
Home: cost increase* of £14 billion
Road: cost saving* of £9 billion
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Financial Cost of Accidents
Every Year
Cost to Society
Home & Leisure £95billions
Workplace £30-35billions
Road £30billions
Total c£150billions
Cost to the State
A&E c£10billions
Rehabilitation c£5-10billions
Long term care/benefits c£5-10billions
Total £20-30billions
RoSPA’s mission is to save lives and reduce injuries
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Human Cost of Accidents
Every Year
Deaths 14,000 (growing by 2-3% pa)
o Workplace 175
o Road 1,901
o Home/Leisure c12,000
Serious Injuries 840,000
Of which ‘life changing’ 65,000
‘Minor’ injuries
A&E attendances 14,000,000 (growing by 5% pa)
GP attendances similar
RoSPA’s mission is to save lives and reduce injuries
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‘Health of the Nation’ Priorities 1992
Coronary heart disease and stroke
Cancers
Mental illness
HIV/AIDS and sexual health
Accidents
Key Areas and the health of people in specific
groups of the population
RoSPA’s mission is to save lives and reduce injuries
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‘Healthy lives, healthy people’ Priorities 2010
Tobacco Control
Alcohol and drug misuse
Obesity and nutrition
Physical activity
Lifestyle interventions
Mental public health
Dental public health
Birth defects
Cancer
Workplace health
Immunisation
Sexual health
Seasonal mortality
Health protection
Community safety
Social exclusion
RoSPA’s mission is to save lives and reduce injuries
Accident prevention
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RoSPA’s mission is to save lives and reduce injuries
Unintentional injuries (accidents) account for 2% of all deaths
* others is a catch-all which includes all the causes of death not separately listed including skin disease, pregnancy/childbirth, mental disorders and diseases of the endocrine, nervous, digestive, musculoskeletal and genito-urinary systems.
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RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
Up to age 60, unintentional injuries (accidents) are the leading cause of preventable years of life lost, accounting for 23% of these YLL
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RoSPA’s mission is to save lives and reduce injuries
1st
1st
1st
1st
2nd3rd
Unintentional injury is the leading cause of preventable YLL until age 75 when it drops to 2nd behind cancer. At 85 years, it drops to 3rd behind cancer and cardiovascular disease.
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Health improvement priorities
RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
Welwyn/Hatfield’s injury profile (1)
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RoSPA’s mission is to save lives and reduce injuries
Welwyn/Hatfield’s injury profile (2)
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Welwyn/Hatfield’s injury profile (3)
RoSPA’s mission is to save lives and reduce injuries
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RoSPA’s mission is to save lives and reduce injuries
St Alban’s injury profile
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What do we want?
RoSPA’s mission is to save lives and reduce injuries
A community in which no person need die or be seriously injured by an ‘accident’…
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0 Age 85
....delivered by a public/private/volunteer partnership
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Thank you