Director of Public Health Annual Report

Directors of Public Health have a statutory requirement to write an annual report on the health of their population. The Director of Public Health Annual Report is a vehicle for informing local people about the health of their community, as well as providing necessary information for decision makers in local health services and authorities on health gaps and priorities that need to be addressed.

The role of the Director of Public Health is to be an independent advocate for the health of the people of this county.

 

Director of Public Health Annual Report 2016 – Public Health Matters: Sex, Drugs and Fluoridation

This year’s report has three main sections which include: an overview of the latest health and wellbeing needs; evidence of how Public Health has and can make a difference; and outlines achievements against recommendations set out in the previous six annual reports.Public health cover-01 (3)

Key highlights from the report include:

  • physical activity in adults has improved across all district and boroughs – all are now similar to, or better than England;
  • physical inactivity in adults has reduced – from 1 in 3 down to 1 in 4;
  • smoking during pregnancy is now below the England average;
  • teenage conceptions continue to fall; and
  • number of Dementia Friends in Warwickshire has increased to over 11,000.

The report also outlines the importance of investing in Public Health and the impact this is having across Warwickshire. Public health offers a range services to people living in the county, from support to stop smoking, support for mental health and wellbeing, programmes for people to eat well, get fit and active.

The report is available to download

What do you think of the report?

Warwickshire health and wellbeing services

References 2016

Introduction

Department of Health and NHS England (2016/17). https://www.gov.uk/government/publications/public-health-grants-to-local-authorities-2016-to-2017

Local Government Association (2015). Prevention: A Shared commitment, Making the case for a Prevention Transformation Fund. 

http://www.local.gov.uk/documents/10180/6869714/Prevention+-+A+Shared+Commitment+(1).pdf/06530655-1a4e-495b-b512-c3cbef5654a6

Local Government Association, King’s Fund (2014). Making the Case for Public Health Interventions.http://www.local.gov.uk/publications/-/journal_content/56/10180/6530180/PUBLICATION

Public Health England. http://fingertips.phe.org.uk/

Public Health England (2016). Spend and Outcome Tool (SPOT). http://www.yhpho.org.uk/LASPOT/

Chapter 1: Patterns of Health and Wellbeing across Warwickshire: Health Profiles 2016

Public Health England. http://fingertips.phe.org.uk/

Public Health England, Health Profiles 2016. http://fingertips.phe.org.uk/profile/health-profiles

Chapter 2: Public Health Interventions: Money well spent?

Fluoridation

Cochrane Oral Health Group (2015). Water fluoridation for the prevention of dental caries. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010856.pub2/abstract

Department of Health (2015). NHS reference costs 2014 to 2015. https://www.gov.uk/government/publications/nhs-reference-costs-2014-to-2015

Guide to Community Preventive Services (2013). Preventing dental caries: community water fluoridation. http://www.thecommunityguide.org/oral/fluoridation.html

NHS Choices (2014), Adding fluoride to water does prevent tooth decay. http://www.nhs.uk/news/2014/03March/Pages/Adding-fluoride-to-water-does-prevent-tooth-decay.aspx

Public Health England. http://fingertips.phe.org.uk/

Public Health England (2014). Water fluoridation, Health monitoring report for England 2014. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/300202/Water_fluoridation_health_monitoring_for_england__full_report_1Apr2014.pdf

The British Fluoridation Society (2012). One in a Million:the facts about water fluoridation. http://www.bfsweb.org/onemillion/13%20One%20in%20a%20Million%20-%20The%20Cost%20and%20Cost-Effectiveness%20of%20Water%20Fluoridation.pdf

Teenage Conceptions

Department for Health and Department for Children, Schools and Families (2010). Teenage Pregnancy Strategy: Beyond 2020. https://www.education.gov.uk/consultations/downloadableDocs/4287_Teenage%20pregnancy%20strategy_aw8.pdf

FPA (2011). Factsheet. http://www.fpa.org.uk/sites/default/files/teenagers-sexual-health-and-behaviour-factsheet-january-2011.pdf

Local Government Association, King’s Fund (2014). Making the Case for Public Health Interventions.http://www.local.gov.uk/publications/-/journal_content/56/10180/6530180/PUBLICATION

Public Health England. http://fingertips.phe.org.uk/

Physical Activity

Department of Health (2011). UK Physical activity guidance. https://www.gov.uk/government/publications/uk-physical-activity-guidelines

Local Government Association, King’s Fund (2014). Making the Case for Public Health Interventions.http://www.local.gov.uk/publications/-/journal_content/56/10180/6530180/PUBLICATION

National Institute for Health and Care Excellence (NICE). Physical activity return on investment tool. https://www.nice.org.uk/about/what-we-do/into-practice/return-on-investment-tools/physical-activity-return-on-investment-tool

Public Health England. http://fingertips.phe.org.uk/

Diabetes

Diabetes UK. Can you reduce your risk of diabetes? https://www.diabetes.org.uk/Guide-to-diabetes/What-is-diabetes/Know-your-risk-of-Type-2-diabetes/Can-diabetes-be-prevented/

Diabetes UK (2015). Facts and Stats. https://www.diabetes.org.uk/Documents/Position%20statements/Diabetes%20UK%20Facts%20and%20Stats_Dec%202015.pdf

Diabetes UK (2014). The cost of diabetes report. https://www.diabetes.org.uk/Documents/Diabetes%20UK%20Cost%20of%20Diabetes%20Report.pdf

Marion Kerr, NHS Diabetes and Kidney Care. NHS Health Check costs, benefits and savings. www.healthcheck.nhs.uk/document.php?o=27

NHS Choices. Type 2 Diabetes.  http://www.nhs.uk/conditions/Diabetes-type2/Pages/Introduction.aspx

NHS England. NHS Diabetes Prevention Programme https://www.england.nhs.uk/ourwork/qual-clin-lead/diabetes-prevention/

NHS Health Checks. http://www.healthcheck.nhs.uk/

NICE (2012). Preventing type 2 diabetes: risk identification and interventions for individuals at high risk. Costing report https://www.nice.org.uk/guidance/ph38/resources/costing-report-68964013

Public Health England. http://fingertips.phe.org.uk/

Tuso (2014). Prediabetes and Lifestyle Modification: Time to Prevent a Preventable Disease. The Permanente Journal. https://www.researchgate.net/publication/264640245_Prediabetes_and_Lifestyle_Modification_Time_to_Prevent_a_Preventable_Disease

Smoking in Pregnancy

Action on Smoking and Health (ASH) (2013). Smoking cessation in pregnancy. A call to action. http://www.ash.org.uk/pregnancy2013

NHS. Stop smoking in pregnancy. http://www.nhs.uk/conditions/pregnancy-and-baby/pages/smoking-pregnant.aspx

NICE. Tobacco return on investment tool. https://www.nice.org.uk/about/what-we-do/into-practice/return-on-investment-tools/tobacco-return-on-investment-tool

NICE (2010) Smoking: stopping during pregnancy and after childbirth. https://www.nice.org.uk/guidance/ph26?unlid=6584162532015123111450

Public Health England. http://fingertips.phe.org.uk/

Chapter 3: The Impact of Public Health Advocacy: Progress on previous recommendations

This chapter is based on the previous annual reports which can all be accessed below.

Faculty of Public Health. Directors of Public Health in Local Government http://www.fph.org.uk/uploads/DPH_Guidance_Final_v6.pdf

Independent Cancer Taskforce. Achieving World Class Cancer Outcomes: A Strategy for England 2015-2020.

http://www.cancerresearchuk.org/sites/default/files/achieving_world-class_cancer_outcomes_-_a_strategy_for_england_2015-2020.pdf

Joint Strategic Needs Assessment (JSNA) (2015/16). JSNA Annual Statement: using intelligence wisely. http://hwb.warwickshire.gov.uk/reviews_annual_updates/jsna-annual-statement-201516-using-intelligence-wisely/

Making Every Contact Count (MECC). http://publichealth.warwickshire.gov.uk/making-every-contact-count/

Warwickshire County Council (2016). Living Well with Dementia Strategy. http://www.warwickshire.gov.uk/dementiastrategy

Warwickshire County Council (2014/15). Quality of Life Report. https://apps.warwickshire.gov.uk/api/documents/WCCC-1014-216

Warwickshire County Council. Neighbourhood Development Planning for Health. https://apps.warwickshire.gov.uk/api/documents/WCCC-630-656

Workplace Wellbeing Charter. http://www.wellbeingcharter.org.uk/index.php

Annual Report 2015: Children and Young People: Investing in the future

The report focuses on early years, education, mental health, healthy weight,
risky behaviours and vulnerable groups. Capture

The report outlines some key successes in relation to children and young people’s health and wellbeing in Warwickshire including:

  • the rate of teenage pregnancy has declined;
  • a reduction in the number of alcohol-specific hospital admissions for the under 18s; and
  • a slight reduction in the number of obese year 6 school children.

However, there are still areas for improvement:

  • 40% of our children do not achieve a good level of development by the end of reception;
  • 13.1% of pregnant women are still smoking at the time of delivery;
  • A&E attendances for 0-4 year olds are higher than the national average; and
  • rates of self-harm in young people aged 10-24 are rising.

The 2015 year report is available to download.

References 

The report came second place in the Association of Directors of Public Health Annual Report Competition.