1. Developing our Integrated Medium Term Plan 2015/16 – 2017/18
Insert name of presentation on Master Slide

2. About Public Health Wales
Now five years old, established in 2009
Budget of £102m in 2013/14, increase from £80m in 2010/11
Workforce of 1,248 whole time equivalents
1.4m microbiology laboratory tests processed each year
Over 500,000 people are screened each year
6,929 smokers treated through Stop Smoking Wales service each year
Delivery of health improvement programmes
Developing our Plan 2015/16 – 2017/18

3. Budget allocation
Developing our Plan 2015/16 – 2017/18

4. How we deploy our staff Developing our Plan 2015/16 – 2017/18 FTE
Division
% of Staff
333
Screening
27%
315
Microbiology
25% 73
Health Protection 6% 12
Safeguarding 1% 20
Public Health Development (central) 2%
166
Health and Healthcare Improvement
13% 57
Health Intelligence 5% 14
Policy, Research and Development
159
Local Public Health Teams 99
Enabling functions 8%
1248
Total
100%
Developing our Plan 2015/16 – 2017/18

5. Policy / legislative context
Public Health Bill White Paper
Wellbeing of Future Generations (Wales) Bill
Commission on Public Service Governance and Delivery
Welsh Government response to Commission on Devolution in Wales (Silk Commission)
Welsh Government commitment to reducing poverty and inequalities
Minister’s commitment to Prudent Healthcare
Assembly elections 2016 and manifesto development
Developing our Plan 2015/16 – 2017/18

6. State of the nation (1)
People are living longer – not necessarily healthier
Health inequalities are widening – healthy life expectancy is 20 years shorter in some parts of Wales than in others
Cancer mortality is over 50% higher in most deprived areas compared to least deprived
Nearly three in ten children aged four to five are overweight and obese
Alcohol consumption is increasing
23 per cent of the population still smokes
Developing our Plan 2015/16 – 2017/18

7. Life expectancy related to socio-economic deprivation
This information is based upon the Public Health Wales Observatory’s Measuring Inequalities Profiles
Here the former Chief Medical Officer for Wales ask us to reproduce some of the information in a style first developed by the London Health Observatory who showed how life expectancy falls as you move from west to east along the Jubilee line
We replicated the approach by showing the same thing moving west to east along the railway line between Dinas Powys in the Vale of Glamorgan towards Grangetown, a socio-economically deprived inner-city area of Cardiff
*Life expectancy in years (confidence intervals)
1 Cardiff: Produced by Public Health Wales Observatory, using ADDE & MYE (ONS) ( )
2 Belfast: Data source: Project Support Analysis Branch, DHSSPS ( ), reproduced with permission
3 London: Data source: London Health Observatory ( ) , reproduced with permission
4 Glasgow: Data source: Glasgow Centre for Population Health ( ) , reproduced with permission
Underground logo reproduced with permission of Transport for London
Developing our Plan 2015/16 – 2017/18

8. Older population is growing
A higher proportion of the Welsh population is 65+ compared to any other UK nation (8.7% vs 6.7 (NI), 7.9% (E), 7.9% (S))
Source:
Developing our Plan 2015/16 – 2017/18

9. Percentage of children aged 4-5 who are obese
Developing our Plan 2015/16 – 2017/18

10. Challenging smoking targets
Wales Oct-Dec 2013
5% of smokers make a quit attempt via smoking cessation services,
1.7%
with at least a 40% CO validated quit rate at 4 weeks
36.6%
Developing our Plan 2015/16 – 2017/18

11. Healthy life expectancy
Gradual rise in healthy life expectancy. But 18 year gap in healthy life expectancy- little change over last decade
Developing our Plan 2015/16 – 2017/18

12. State of the nation (2)
Communicable diseases and globalisation continue to pose a threat to public health
Inadequate vaccination rates
Threat from antibiotic resistance
Healthcare associated infections are far too high
Existing screening programmes do not reach their full potential due to people choosing not to participate
Economic and environmental factors threaten health gains that have already been made
Developing our Plan 2015/16 – 2017/18

13. Challenges and opportunities
NHS Wales financial context
Relationships within the public health system – complex and evolving
Welsh Government planning requirements
Shifting the equilibrium to keeping people healthier for longer
Preventing ill health and preventing the exacerbations of ill health
Active and supportive leadership
Focusing on what’s important
Developing our Plan 2015/16 – 2017/18

14. Areas we could focus on? (1)
Core areas of ongoing service delivery and service modernisation – the ‘Must Dos’
Screening, microbiology and health protection services
Supporting vaccination
Key health improvement programmes that continue following Transforming Health Improvement in Wales
Public health priorities where greater impact is needed
Smoking, obesity, cancer, healthcare associated infections?
Developing our Plan 2015/16 – 2017/18

15. Areas we could focus on? (2)
Recent priorities that are increasingly important
Prudent healthcare
Transforming Health Improvement in Wales
Public Health Outcomes Framework / Future Generations Bill ‘wellbeing indicators’
Areas where more work is needed to define and develop the Public Health Wales contribution
Poverty and health inequality
Primary and community care
Mental health
Early years focus
Developing our Plan 2015/16 – 2017/18

16. Areas we could focus on? (3)
Influencing development of policy and strengthening our role
Strengthening relationships with stakeholders and partners
Leading for change
Stronger focus on facilitate leadership
Strengthening the organisation
Organising ourselves to deliver what’s required
Developing our Plan 2015/16 – 2017/18

17. Summary of board session
Increase emphasis on tackling inequalities
Increase emphasis on active facilitative leadership
Increase role in influencing and policy development
Continued improvements in our ‘must dos’
Become respected source of knowledge and learning on closing inequalities gap
Link healthcare with communities and partners
Use knowledge and targets to lead, mobilise and motivate others
BE CLEAR ON OUR PRIORITIES
Developing our Plan 2015/16 – 2017/18

18. Next steps Formulate output from Board session
Wider senior leadership session with Divisional Directors and Directors of Public Health
Agreeing core priorities
Developing ‘what does success look like’
Identifying Public Health Wales’ role to deliver
Session with health boards to agree 2-3 core public health priorities in all IMTPs
Wider staff engagement
External general and targeted consultation
Developing our Plan 2015/16 – 2017/18

19. And finally...
“If we are ever in doubt about what to do, it is a good rule to ask ourselves what we shall wish on the morrow that we had done.”
John Lubbock
Developing our Plan 2015/16 – 2017/18