Director of Public Health Annual Reports

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 2017 – Everyone in Warwickshire Counts: Valuing the Vulnerable

Director of Public Health Annual Report

This year’s report includes: an overview of the health and wellbeing of the Warwickshire population, and provides a focus on the theme of this year’s report; vulnerability, together with information on progress with the 2016 recommendations.

Download the report

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References 2017

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    https://www.warwickshire.gov.uk/businessplan
  2. Cabinet Office, (2015), Social Value Act: review, https://www.gov.uk/government/consultations/social-value-act-review
  3. Department for Communities and Local Government (2015), English indices of deprivation 2015,https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015
  4. Office for National Statistics (2016), Sub-national Population Projections for Local Authorities in England, https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationprojections/datasets/localauthoritiesinenglandtable2″
  5. Public Health England (2017), Chapter 5: Inequalities in Health, https://www.gov.uk/government/publications/health-profile-for-england
  6. Public Health England (2017), Public Health Profiles, http://fingertips.phe.org.uk
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  12. NHS Cervical Screening Programme (CSP) (2015/16), https://www.gov.uk/guidance/cervical-screening-programme-overview
  13. Quality Outcomes Framework, NHS Digital and NHS Digital (2017), http://www.content.digital.nhs.uk/home
  14. Children’s Commissioner (2017), ‘On measuring the number of vulnerable children in England’, https://www.childrenscommissioner.gov.uk/wp-content/uploads/2017/07/CCO-On-vulnerability-Overveiw.pdf
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  17. Lankelly Chase Foundation (2015), Hard Edges, Mapping severe and multiple disadvantage, England, https://lankellychase.org.uk/wp-content/uploads/2015/07/Hard-Edges-Mapping-SMD-2015.pdf
  18. HMIC, (2015), The depths of dishonor: Hidden voices and shameful crimes’, https://www.justiceinspectorates.gov.uk/hmicfrs/wp-content/uploads/the-depths-of-dishonour.pdf
  19. Childline (2012) ‘Caught in a trap: the impact of grooming’, https://www.nspcc.org.uk/globalassets/documents/research-reports/caught-trap-study.pdf
  20. Larkin, M. (2009), Vulnerable groups in health and social care, Sage Publications, Page 4
  21. Homelessness figures provided by Warwickshire district and borough councils housing departments (2015/16)
  22. Department for Education (2016), Children looked after in England including adoption: 2015 to 2016, https://www.gov.uk/government/statistics/children-looked-after-in-england-including-adoption-2015-to-2016
  23. Warwickshire County Council (2016), Living in Warwickshire 2016 survey, http://hwb.warwickshire.gov.uk/2017/06/01/living-in-warwickshire-survey-results/
  24. Special Educational Needs and Disabilities (SEND) data provided by the Insight Service, Warwickshire County Council (2016)
  25. Projecting Older People Population Information (POPPI) provided by the Insight Service, Warwickshire County Council (2017)
  26. Warwickshire County Council (2015), Warwickshire Cybercrime Survey Analysis, https://apps.warwickshire.gov.uk/api/documents/WCCC-1014-221
  27. Rethink Mental Illness (2012), 20 years too soon. Physical health: the experiences of people affected by mental illness,https://www.rethink.org/media/511826/20_Years_Too_Soon_FINAL.pdf
  28. PHE & UCL Institute of Health Equity (2014), Local action on health inequalities: Reducing the number of young people not in employment, education or training (NEET), Health Equity Evidence Review 3,https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/356062/Review3_NEETs_health_inequalities.pdf
  29. Maplethorpe N, Chanfreau J, Philo D, Tait C. (2010), Families with children in Britain: Findings from the 2008 Families and Children Study (FACS), UK, Department for Work and Pensions
  30. Public Health England (2016), Trends in drug misuse deaths in England, 1999 to 2014, http://www.nta.nhs.uk/uploads/trendsdrugmisusedeaths1999to2014.pdf
  31. Department for Education & Department of Health (2015), Promoting the health and wellbeing of looked-after children, https://www.gov.uk/government/publications/promoting-the-health-and-wellbeing-of-looked-after-children–2
  32. Thomas, B. (2011) Homelessness: A silent killer – A research briefing on mortality amongst homeless people, London, Crisis.
  33. Equality and Human Rights Commission (2017), Public Sector Equality Duty, https://www.equalityhumanrights.com/en/advice-and-guidance/public-sector-equality-duty
  34. Equality and Human Rights Commission (2017), Equality impact assessments, https://www.equalityhumanrights.com/en/advice-and-guidance/equality-impact-assessments
  35. PHE & UCL Institute of Health Equity (2014), Local action on health inequalities, introduction to a series of evidence papers, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/357406/Local_action_health_inequalities_series_introduction.pdf
  36. The Health Foundation (2017), Social determinants for health, http://www.health.org.uk/collection/social-determinants-health
  37. Kings Fund (2014), Making the case for public healht interventions, https://www.kingsfund.org.uk/audio-video/public-health-spending-roi
  38. Department for Education (2011), Evaluation of the family and young carer pathfinder programme, https://www.gov.uk/government/publications/evaluation-of-the-family-and-young-carer-pathfinders-programme
  39. Department for Communities and Local Authorities (2016), Local Authority Data on the Cost and Potential Fiscal Benefits of the Troubled Families Programme, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/560512/Troubled_Families_Local_Authority_Cost_Savings.pdf
  40. Warwickshire County Council (2017), Priority Families Performance Dashboard, https://apps.warwickshire.gov.uk/api/documents/WCCC-1043-161
  41. Early Intervention Foundation (2016), The cost of late intervention: EIF analysis 2016, http://www.eif.org.uk/publication/the-cost-of-late-intervention-eif-analysis-2016
  42. Warwickshire County Council (2016), Warwickshire Domestic Violence and Abuse Needs Assessment 2015-16, https://apps.warwickshire.gov.uk/api/documents/WCCC-644-390
  43. NICE (2014), Costing statement: Domestic violence and abuse, https://www.nice.org.uk/guidance/ph50/resources/costing-statement-pdf-69194701
  44. HSCIC (2015), Psychological Therapies, Annual report on use of IAPT services, http://content.digital.nhs.uk/catalogue/PUB19098/psyc-ther-ann-rep-2014-15.pdf
  45. Home office (2016), Domestic violence and abuse, https://www.gov.uk/guidance/domestic-violence-and-abuse
  46. Mankind Initiative (2016), Male victims of domestic and partner abuse 30 key facts, http://new.mankind.org.uk/wp-content/uploads/2015/05/30-Key-Facts-Male-Victims-Mar-2016.pdf
  47. Safer Wales, Women’s Safety Unit, Cardiff Model, http://www.saferwales.com/
  48. Rates of Domestic Violence and Abuse incidents per 1,000 of 16+ population provided by Warwickshire Police (2017)
  49. Warwickshire County Council (2015), Warwickshire’s Violence Against Women and Girls Strategy 2015-18, https://apps.warwickshire.gov.uk/api/documents/WCCC-671-72
  50. Loughborough University Centre for Research in Social Policy (2016), Minimum Income Standards, http://www.lboro.ac.uk/research/crsp/mis/
  51. Joseph Rowntree Foundation (2016), Just about managing, four million more people living on inadequate incomes in modern Britain, https://www.jrf.org.uk/press/just-about-managing-four-million-more-living-britain
  52. Joseph Rowntree Foundation (2016), Who are Prime Minister May’s ‘just about managing’ and what would help them,https://www.jrf.org.uk/blog/who-are-prime-minister-mays-just-about-managing-and-what-would-help-them
  53. Hill, K. Davis, A. Hirsh, D. Marshall, L. (2016) Falling short: the experiences of families living below the minimum income, Loughborough University, https://dspace.lboro.ac.uk/dspace-jspui/handle/2134/22220
  54. HM Treasury, Ellison, J. (2017), Lifetime ISA and Help to Save: boost for savers as key schemes become law, https://www.gov.uk/government/news/lifetime-isa-and-help-to-save-boost-for-savers-as-key-schemes-become-law
  55. Association of British Credit Unions Limited (2014), Financial Inclusion Commission – Call
    for Evidence, http://www.financialinclusioncommission.org.uk/uploads/written/Association_of_British_Credit_Unions_Limited_-ABCUL-_response_to_UKFIC.pdf
  56. Families, Friends and Travellers (2015), Inclusion of Gypsy Traveller health needs in Joint Strategic Needs Assessments: A review, http://www.gypsy-traveller.org/wp-content/uploads/2015/03/FFT_Inclusion-of-Gypsy-Traveller-health-needs-in-JSNA_FINAL.pdf
  57. Office for National Statistics (2014), What does the 2011 Census tell us about the Characteristics of Gypsy or Irish Travellers in England and Wales?, http://webarchive.nationalarchives.gov.uk/20160107132208/http://www.ons.gov.uk/ons/dcp171776_349352.pdf
  58. Department for Communities and Local Government (2012), Reducing inequalities for Gypsies and Travellers: progress report, https://www.gov.uk/government/publications/reducing-inequalities-for-gypsies-and-travellers-progress-report
  59. Aspinall, P. (2014), Hidden Needs, Identifying Key Vulnerable Groups in Data Collections:
    Vulnerable Migrants, Gypsies and Travellers, Homeless People, and Sex
    Workers, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/287805/vulnerable_groups_data_collections.pdf
  60. Parry, G. Cleemput, P. Peters, J. Moore, J. Walters, S. Thomas, K. Cooper, C. (2004), The Health Status of Gypsies & Travellers in England, https://www.sheffield.ac.uk/polopoly_fs/1.43714!/file/GT-final-report-for-web.pdf
  61. Warwickshire County Council (2015), Gypsy and Traveller Needs Assessment
  62. Crown Copyright and database right 2017. Ordnance Survey 100019520
  63. The Traveller Movement (2015) Improving the health of Gypsies and Travellers – http://www.travellermovement.org.uk/wp-content/uploads/2015/01/Gypsy-Traveller-Health-Briefing-2015.pdf
  64. Carers Needs Assessment – https://apps.warwickshire.gov.uk/api/documents/WCCC-644-356
  65. The Children’s Society (2013), Hidden from View, – https://www.childrenssociety.org.uk/sites/default/files/tcs/report_hidden-from-view_young-carers_final.pdf
  66. Department of Education (2016), The lives of young carers in England, http://cdn.basw.co.uk/upload/basw_112727-8.pdf
  67. Department of Health, School Nurse programme: Supporting implementation of the new service offer: supporting the health and wellbeing of young carers – https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/299270/Young_Carers_pathway_Interactive_FINAL.pdf
  68. Carers Trust (2013) – https://professionals.carers.org/sites/default/files/supporting_young_carers_in_schools_-_an_introduction.pdf
  69. Warwickshire County Council, Warwickshire Young Carers Project, 2016 Data.
  70. Warwickshire School Assessment Report – https://apps.warwickshire.gov.uk/api/documents/WCCC-630-1172
  71. Adapted model from the Carers Trust UK developed by Northamptonshire Carers –https://carers.org/sites/files/carerstrust/invisibleandindistress_report.pdf
  72. Loneliness and Social Isolation Needs Assessment – https://apps.warwickshire.gov.uk/api/documents/WCCC-644-270
  73. Victor, C. (2012), ‘What do you expect at your age? Loneliness and old age’, https://www.campaigntoendloneliness.org/wp-content/uploads/downloads/2012/07/Victor-Loneliness-Plenary-July2012.pdf
  74. Marmot Review (2010), Fair Society, Healthy Lives: Strategic Review of Health Inequalities in England Post 2010, https://www.gov.uk/dfid-research-outputs/fair-society-healthy-lives-the-marmot-review-strategic-review-of-health-inequalities-in-england-post-2010
  75. Holt-Lunstad, J. Smith, TB. Layton, JB. (2010), Social Relationships and Mortality Risk: A Meta-analytic Review, Plos Medicine, https://doi.org/10.1371/journal.pmed.1000316
  76. Victor, CD. Scrambler, S. Bowling, A. Bond, J. (2005), The prevalence of and risk factors for loneliness in later life: A survey of older people in Great Britain, Ageing and Society, http://discovery.ucl.ac.uk/1639/”>
  77. Age UK (2016), No one should have no one, https://www.ageuk.org.uk/Documents/EN-GB/No-one_Should_Have_No-one_Working_to_end_loneliness.pdf?dtrk=true
  78. Coventry and Warwickshire, Sustainability and Transformation Partnership, https://www.uhcw.nhs.uk/about-us/stp
  79. Warwickshire County Council, Warwickshire Joint Strategic Needs Assessments, http://hwb.warwickshire.gov.uk/
  80. Warwickshire County Council, Making Every Contact Count (MECC), http://publichealth.warwickshire.gov.uk/making-every-contact-count/
  81. The Centre for Social Justice (2016), How Theresa May can help those ‘just about managing’, http://www.centreforsocialjustice.org.uk/csj-blog/theresa-may-can-help-just-managing</l

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.