Transformation – Learning from others An English Perspective – Leading Local Transformation Niall Dickson - Chief Executive, NHS Confederation Public Health, Prudent Healthcare and a Whole of Government Approach Dr Tracey Cooper - Chief Executive, Public Health Wales

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Cymru 3.1million population Health fully devolved £15bn: £6.7bn health and social services 7 Health Boards (£236m - £1.2bn), 3 national NHS Trusts (Public Health Wales, Velindre, National Ambulance Service) Health Boards: integrated acute, primary and community 22 Local Authorities Cabinet Secretary for Health, Well-being and Sport and Minister for Public Health and Social Services

Health in Wales today AND TOMORROW...

POPULATION CHANGES

Burden of disease

Projections Please note: The Daffodil system applies Wales-level prevalence figures to projected population estimates for the areas in question to give a projected number of people who will have these conditions in the future. In doing so, a number of assumptions which may or may not hold true in the future are made and should be borne in mind when interpreting the results. In particular this data assumes that the population will continue to have the same prevalence of a disease in the future as it does now, and does not take account of prevalence change.

We must deliver a more preventative approach for our public’s health that has maximum impact to reduce inequalities and enable people to live healthier for longer

How do we create a Healthy and sustainable society?

 

Well-being of Future Generations (Wales) Act: 1 April 2016 Future Generations Commissioner Statutory duty of public services Establishment of Public Service Boards Assess state of economic, social, environmental and cultural well-being Develop Health and Wellbeing Plans National cross-government, cross-sector indicators Goals reconcile back to SDGs and global monitoring LEADERSHIP : BEHAVIOUR : RELATIONSHIPS : CULTURE

Adverse Childhood Experiences (ACEs) In Wales Health Harming Mental Well-being Chronic Disease

ACEs Summary www.aces.me.uk Major Cause of Non-Communicable Disease Expose Health and Economic value of good parenting Need consideration across the life course Impacted by Environment (e.g. poor alcohol control) Joint agenda for Health, Social Care, Housing, Education and Crime Require a Unified Research Agenda Inter-generational benefits from breaking the cycle Better informed parents make better life-course choices A trusted adult can make a remarkable difference ACE Hub established: Health, Housing, Police, Education www.aces.me.uk

He who has health has hope and he who has hope has everything. Thomas Carlyle