1. Environmental Health and Public Health Peter Carey Environmental Health Manager 4 th December 2013 North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

2. The role environmental health can play in the new public health agenda The opportunities and challenges My presentation North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

3. Themes n Perspective n Priorities n Organisations n Resources North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

4. Perspective n Pre 19 th Century - little Government involvement in public health n Industrial revolution - overcrowding, poor housing, bad water and disease n Major cholera outbreaks n Government accepted the case for action North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

5. Public measures n 1834 Poor Law Amendment Act n 1848 The Nuisances Removal and Diseases Prevention Act n 1848 Public Health Act n 1853 Vaccination Act n 1875 Public Health Act n 1894 Local Government Act North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

6. Individual measures n 1906 Power for LAs to provide free school meals n 1907 School medical examinations for all children n 1908 Old age pensions introduced n 1911 National Insurance introduced North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

7. Current environmental health roles n Nuisance n Housing conditions inc overcrowding n Drinking water quality n Food safety n Health & safety at work n Infectious disease control n Air quality n Contaminated land n Tobacco control (smoke free premises) n Noise control n Skin piercing North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

8. Priorities n HCC priorities n District Council priorities n NHS priorities n Herts H&W Strategy priorities n Wider determinants of health n Public Health Outcomes Framework for England North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

9. Health & Wellbeing Strategy priorities n Reducing the harm caused by alcohol. n Reducing the harm from tobacco. n Increasing physical activity and promoting a healthy weight. n Fulfilling lives for people with learning disabilities. n Living well with dementia. n Enhancing quality of life for people with long term conditions. n Supporting carers to care. n Helping all families to thrive. n Improving mental health and emotional wellbeing. North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

10. Wider determinants of health North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

11. Public Health Outcomes Framework 2013-2016

12. Organisations North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

13. North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

14. n HCC n CCGs (x2) n District/Borough Councils (x10) n Parish/Town Councils n NHS Trusts n NHS Local Area Team n PHE South Midlands & Herts n Third Sector North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

15. Resources n Budgets n Economic climate n Commissioning North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

16. North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk Case studies District Council’s Network “District Action on Public Health”

17. Wealden DC – food safety n Improving food knowledge at lunch clubs n Over 20 lunch clubs across n Target audience older people (but not exclusively) n FSA grant applied for to support clubs n Training and other support offered with regard to hygiene and nutrition n Half day training sessions and handbooks North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

18. Chichester DC – falls prevention n Statutory duty to deal with hazards in homes n Accident notifications required under HSW74 n Chichester 2008, most serious accident report notifications related to falls of residents in care homes n Half day training session developed for care home supervisors to increase knowledge of how to carry out falls prevention assessment. n Delivered in conjunction with local NHS Trust n 40% drop in care home accident reports since training North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk

19. North Herts DC – tobacco control North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk n Health Act 2006 – the smoking ban n Was compliance as good as reported? n Focus on business engagement n Taxi businesses n Vehicle checks with the Police n Referrals to HSSS

20. North Herts District Council www.north-herts.gov.ukwww.north-herts.gov.uk Conclusion n Detailed knowledge of public health issues n Practical and adaptable officers n Local knowledge of our communities and local public health threats n Statutory powers