prevention is better than cure: getting tougher on poor health/media/confederation...59.1 58.7 63.5...
TRANSCRIPT
![Page 1: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/1.jpg)
@nhsc_conference#confed2015
Event supported by:
Prevention is better than cure: getting tougher on poor health
Dr Tracey Cooper, Chief Executive, Public Health Wales
![Page 2: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/2.jpg)
Insert name of presentation on Master Slide
Global Perspective
![Page 3: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/3.jpg)
3
United Nations: 31 October 2011
![Page 4: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/4.jpg)
![Page 5: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/5.jpg)
Global Trends 1: Demographic
Economic slowdown
Globalisation of diseases and emerging threats
Urbanisation
Global mobility: professionals and patients (Regional strategies, health tourism)
Ageing population: By 2050:
- people over 65 ~= children < 14
- >50’s population increase from 1.4 to 3.1 billion
Social care and support: older people, children, people with a disability
![Page 6: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/6.jpg)
Global Trends 2: Population
HealthUniversal health coverage, integrated care and health system strengthening
Reducing inequalities (MDGs to 2015)
Quality and safety frameworks: standards, measurement and evaluation – accreditation, licensing
Informed decision-making: Cost, clinical and comparative effectiveness. Health Technology Assessment, tackling disinvestment
Measuring performance and outcomes
Optimising technology solutions
![Page 7: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/7.jpg)
Sustainable Development Goals
Post MDG
January 2016 to 2030
17 Goals
People, Planet, Posterity
United Nations: 2015
![Page 8: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/8.jpg)
Our Future Planet
Change in the Absolute Size of the Population
- Fertility dynamics, mortality dynamics, ageing
Change in the Relative Size of Particular Cohorts
- Youth and Ageing
Change in Spatial Distribution of Population
- International and internal migration
- Increasing urbanization (Asia ~ 50% global urban
population further + 1billion by 2040)
Environmental sustainability - by 2030:
50% more food, 30% more water (70 – 90% by 2050), 45% more energy
![Page 9: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/9.jpg)
![Page 10: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/10.jpg)
Young Children and Older People as a Percentage of GlobalPopulation: 1950-2050
Source: United Nations. World Population Prospects: The 2010 Revision.
![Page 11: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/11.jpg)
![Page 12: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/12.jpg)
![Page 13: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/13.jpg)
Ship Management International
![Page 14: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/14.jpg)
Life Expectancy at birth
Comparative data
Life expectancy at birth, UK: 1980 – 2012
![Page 15: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/15.jpg)
Life expectancy is related to socio-economic deprivation
61.2
60.8
65.3
64.7
81.4
80.4
59.1
58.7
63.5
62.8
77.0
75.9 8.6
9.2
18.4
18.9
14.6
14.8
6.5
7.1
17.4
17.8
12.3
12.5
2001-05 2005-09
Life expectancy
Healthy life
expectancy
Disability-free life
expectancy
Life expectancy
Healthy life
expectancy
Disability-free life
expectancy
Males
Females
Produced by Public Health Wales Observatory, using ADDE/MYE (ONS), WIMD/WHS (WG)
Life expectancy with 95%
confidence intervalInequality gap
(SII in years)
Comparison of life expectancy, healthy life expectancy and disability-free life
expectancy at birth, Wales 2001-05 and 2005-09
62.5
62.1
65.9
65.4
81.7
80.6
59.8
59.2
63.7
63.0
76.9
75.9 12.9
12.8
22.5
22.7
17.2
17.1
8.8
10.0
21.0
22.0
12.312.9
2001-05 2005-09
Life
expectancy
Healthylife
expectancy
Disability-free life
expectancy
Life
expectancy
Healthylife
expectancy
Disability-free life
expectancy
Males
Females
Produced by Public Health Wales Observatory, using ADDE/MYE (ONS), WIMD/WHS (WG)
95% confidence interval
Inequalitygap (SII in years)
Comparison of life expectancy, healthy life expectancy and disability-free
life expectancy at birth, Cardiff 2001-05 and 2005-09
62.5
66.1
81.0
61.5
64.7
77.3
62.0
65.5
79.9
60.8
63.9
75.9
0 10 20 30 40 50 60 70 80 90
Disability-free life expectancy
Healthy life expectancy
Life expectancy
Disability-free life expectancy
Healthy life expectancy
Life expectancy
2001-05 2005-09
Produced by Public Health Wales Observatory, using ADDE/MYE (ONS), WIMD 2008 (WAG)
Comparison of life expectancy, healthy life expectancy and disability-free life expectancy
at birth, Wrexham 2001-05 and 2005-09
Females
Produced by Public Health Wales Observatory, using ADDE/MYE (ONS), WIMD/WHS(WG)
Males
![Page 16: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/16.jpg)
Childhood Obesity
Comparative data
Proportion of children aged 4 to 5 years who are overweight or obese.
England and Wales. Child Measurement Programme for Wales. National Child
Measurement Programme England 2013/14
![Page 17: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/17.jpg)
Obesity and DeprivationChildren aged 4 to 5 years
9.411.4
13.2 13.5 14.3
Least
deprived
f ifth
Next least
deprived
Middle
deprived
Next most
deprived
Most
deprived
f ifth
Wales= 12.5%
Percentage of children aged 4-5 years who are obese,
Welsh Index of Multiple Deprivation fifths, Child
Measurement Programme for Wales, 2011/12Produced by Public Health Wales Observatory, using CMP data (NWIS), WIMD 2011 (WG)
PHW Observatory. Child Measurement Programme
2013
![Page 18: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/18.jpg)
Smoking prevalence in adults aged 18+
Comparative data
Smoking Prevalence: by country, January to December 2013
![Page 19: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/19.jpg)
Smoking Deaths
“ Smoking continues to be the greatest single cause of avoidable mortality in Wales. In people aged 35 and over, smoking causes nearly one in five of all deaths and around one third of the inequality in mortality between the most and least deprived areas.”
![Page 20: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/20.jpg)
Cancer Incidence, Survival and Mortality
Incidence Survival Mortality
![Page 21: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/21.jpg)
Our World Tomorrow
![Page 22: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/22.jpg)
We must deliver a more preventative
approach for our public’s health that has
maximum impact to reduce inequalities
and keep people healthier for longer
![Page 23: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/23.jpg)
Systems Approach to Improving Health
![Page 24: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/24.jpg)
Optimising our Assets
National, regional, town
or county
Communities
Workplaces
Children’s settings
Healthy
schools
Healthy
pre-
schools
Healthy Working Wales
Health of the Valleys project
Training,
award
schemesNetwork
initiation
NHS
LA’s
Housing
Police
![Page 25: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/25.jpg)
Aligning Policy, Settings and People
People
• Making every contact count
• Training and education
• Multi-interventionalists
• Smoking, obesity and alcohol tailored support
• Ensure workplace policies tackle well-being
• Become public health advocates
• All public servants, voluntary organisations
• Connecting with local community leaders and role models
Settings
• Schools• Further Education
Establishments• Hospitals/ Health
Centres• Public Sector
Workplace• Custodial settings• Private Sector
workplaces• Cinemas/Theatres/E
ntertainment venues• Retail establishments• Fast Food shops• Local communities
Public Policy
• Taxation – sugar, soft drinks
• Planning – restriction of outlets, designed for health
• Bans- promotions, sponsorship, products
• Licensing – what can be sold and where
• Restrictions – on sales to children, on marketing on access to health care
• Parenting Orders• Profiling for obesity at birth• Raising public awareness
away from personal responsibility to coping with environment
![Page 26: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/26.jpg)
PARTNERSHIP
PURPOSEFUL
PREVENTION
![Page 27: Prevention is better than cure: getting tougher on poor health/media/Confederation...59.1 58.7 63.5 62.8 77.0 75.9 8.6 9.2 18.4 18.9 14.6 14.8 6.5 7.1 17.4 17.8 12.3 12.5 2001 -05](https://reader034.vdocuments.us/reader034/viewer/2022042308/5ed4f1e3255ebb17eb62212a/html5/thumbnails/27.jpg)
The doctor of the future will give no medicines, but will interest his
patients in the care of the human frame, in diet and in the causes and
prevention of disease. Thomas Edison