Birmingham:A local experience

Peter HayStrategic Director

Adults and Communities

Jim McManusJoint Director

of Public Health

ADASS / SCIE SEMINARTHE NEW ARRANGEMENTS FOR PUBLIC HEALTH

28th February 2011

Contents

• Context

• What have we done so far?

• Some thoughts on building from here

The Current Birmingham Model

• DPHs in PCTs and joint funded council post

• Broader council responsibilty• JSNA and single data• Use of JSNA in commissioning• Scrutiny and strategic development

Health Improvement

Health Protection Service

Quality andImprovement

Commissioning priorities, Evidence, acting when evidence is silent, making it work, supporting implementation

Ensuring we have the right frameworks in place

Long term, medium term, short term impacts

Building a “Whole Council Approach” through Domains of Public Health

FALLS PREVENTION

Telecare

Choice Wins and Broader Responsibility

• Choose your wins• The Prevention

Framework and Prevention Strategy and Social Care Chapter

• Workplace Health• Housing and Health

Protocol• Core Strategy and

Planning• Neighbourhood Tasking

Model• Healthy Catering Awards• JSNAs – Children

• Broader Council Responsibility

• Council’s Big Three includes Behaviour Change by Services AND Citizens

• The Council Plan – Be Healthy

• JSNA and role of Scrutiny

• HI Champions• Marmot Directors

Short, medium and long term yields

Takeaways

• Child obesity target met• 29 priority schools• Supplementary Planning

Document• Healthy Takeaways

Awards• School Nutrition

Standards• Alliance between Scrutiny

and Planning Committees• Alliance with 2

manufacturers, 2 takeaway chains and 4 community groups

Birmingham health chiefs wage war on takeaways to crack down on obesity shame

Europe’s “Fattest City” too fond of chips, says somebody no-one has ever heard of

Timeframes of impact/yield

Years0 1 5 10 15

Primary Care

Planning Frameworks and Core Strategies

Education

Vitamin Supplements

Reducing Worklessness

Decent Homes

Air Pollution

Primary Care

Air Pollution

Decent Homes

Reducing Worklessness

Some thoughts on building from here

Marmot’s 6 Policy Objectives

From this

To this

From this

To this

A new care model & public health

Citizen purchased care – state resources

Enablement

Prevention

Universal offer

Citizen (purchased) care – own resources

MEANS

NEEDS

In Conclusion

• This is a huge but exciting challenge – public health a key part of the landscape

• Whole council approach to public health• Lots of space for new ways of working• A new strategic role across the whole

Council and alongside GPs• Within a new focus on place and people• The cement is a new way of working

together?Peter.hay@birmingham.gov.uk

Jim.mcmanus@birmingham.gov.uk