Hertfordshire’s Public Health Strategy Cllr Teresa Heritage Jim McManus Hertfordshire Assembly Meeting November 13 th 2013

Our Strategy Vision – what we want to achieve Priorities – What we will do to get there Building Blocks – some of our approaches

A Distributed System Public Health England NHS England NHS Clinical Commissioning Groups County Council District and Borough Councils Voluntary and Community Sectors Employers

The Big Public Health Challenges for Hertfordshire Health Improvement Health Protection Service Quality Imms Vaccs TB HCAI Environment Non Communicable Disease Public Mental Health Development Ageing Health Care Quality Public Service Outcomes

Our Health Challenges

Conceptualising wider determinants Smoking 10% Diet/Exercise 10% Alcohol use 5% Poor sexual health 5% Health Behaviours 30% Education 10% Employment 10% Income 10% Family/Social Support 5% Community Safety 5% Socioeconomic Factors 40% Access to care 10% Quality of care 10% Clinical Care 20% Environmental Quality 5% Built Environment 5% Built Environment 10% Source: Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute. Used in US to rank counties by health status While this is from a US context it does have significant resonance with UK Evidence, though I would want to increase the contribution of housing to health outcomes from a UK perspective. Contributors to overall health outcomes

Priority 1 Our residents live longer, healthier lives

Priority 2 Our residents start life healthy, and stay healthy

Priority 3 We narrow the gap between most and least healthy

Priority 4 We protect our communities from harm

Priority 5 We make Public Health everybody’s business Workforce development Clear models of how to do public health Understand what is needed and do what works Intelligence and Information Evidence Evaluation and monitoring Priority 6

Key Concept - 6 Levels of Public health Biological Behavioural Social Legislative Structural Environmental

Delivery Model

Next Steps Implementation Plan Specific Plans –Sexual Health –Obesity –Tobacco –Lifestyle and Physical Activity Partnerships Health Promotion Resource

Learning Public Health Conference for Hertfordshire – free to attend, 4 th December E Learning Platform PH Library Resource

So Does this make sense? Is it doable? What do you think can make it better? How do we improve? Where do we go from here? What can you do? What do we need to do to help you?