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A New Approach to Public Health Monday 28 th  February 2011 Jim McManus Joint Director of Public Health, Birmingham City Council The Local Authority as Strategic Driver on Health and Wellbeing Boards
Issues ,[object Object],[object Object],[object Object],[object Object],[object Object]
Networks not Deficits ,[object Object],[object Object],[object Object]
Domains of Public Health Health  Improvement Health Protection Service  Quality and Improvement Commissioning priorities, Evidence, making it work, supporting implementation Ensuring we have the right frameworks in place Long term, medium term, short term, matrix
Local Government Public Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Vision as I see it ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The new public health duties ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
So what does it mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Accountability  Challenge for the DPH ,[object Object],[object Object],[object Object]
You might have got it wrong if… Elected Members HWBB SoS / CMO / DH / A-Z LA CMT NPHS Staff Team ? GP Consortia PROVIDERS DPH
Vision, but what about outcomes? Health minded and health-seeking people Both workers and citizens (Self care, and self management reduces reliance on services) Adapted with thanks from Newcastle Model SHARED OUTCOMES JSNA Shared Data Sets Commissioning  Priorities H & WB Strategy High Quality Strategy SHARED OUTCOMES Governance, Leadership  and Organisation High Quality Partnership Structure HWBB Others Citizen Engagement & Co-Production Delivery Areas Provide Integrated Services Deliver shared outcomes Citizen Engagement &  Co-Production
Issues for us to work out ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],An OD Programme for the Organisation and the DPH
Some Golden Rules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Birmingham Policy Framework ,[object Object],[object Object],[object Object],[object Object],[object Object]
Models for new services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some Must dos ,[object Object],[object Object],[object Object],[object Object],[object Object]
Context ,[object Object],[object Object],[object Object],[object Object]
Some History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Opportunities ,[object Object],[object Object],[object Object],[object Object]
Our Burdens of Disease Primary Secondary Tertiary Role for corporate and roles for core here
The Challenge ,[object Object],[object Object],Short  Term – primary care EXPOSURES LIFESTYLE Medium to Long Term – LA and other players EXPOSURES.  PLACES. LIVES Time
So what is the Birmingham approach  since 2008/9? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Each Service Area Playing its Part ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Corporate Area Playing its Part ,[object Object],[object Object],[object Object],[object Object],[object Object]
Birmingham Approach to the White Paper ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some approaches to a Board Loose, Strategic, Agree Priorities Task Group Other Agency or Partnership (CDRP) What is more important for the Board? Governance or Agreement?
Outcomes and monitoring them Health minded and health-seeking people Both workers and citizens (Self care, and self management reduces reliance on services) Adapted with thanks from Newcastle Model SHARED OUTCOMES JSNA Shared Data Sets Commissioning  Priorities H & WB Strategy High Quality Strategy SHARED OUTCOMES Governance, Leadership  and Organisation High Quality Partnership Structure HWBB Others Citizen Engagement & Co-Production Delivery Areas Provide Integrated Services Deliver shared outcomes Citizen Engagement &  Co-Production
Transition Streams
Thank you! A copy of a supporting paper “some thoughts on the DPH transition” should be in your pack [email_address] Or [email_address] Email – a lesson in joint working???

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28th February 2011 Capita Conference Mc Manus

  • 1. A New Approach to Public Health Monday 28 th February 2011 Jim McManus Joint Director of Public Health, Birmingham City Council The Local Authority as Strategic Driver on Health and Wellbeing Boards
  • 2.
  • 3.
  • 4. Domains of Public Health Health Improvement Health Protection Service Quality and Improvement Commissioning priorities, Evidence, making it work, supporting implementation Ensuring we have the right frameworks in place Long term, medium term, short term, matrix
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. You might have got it wrong if… Elected Members HWBB SoS / CMO / DH / A-Z LA CMT NPHS Staff Team ? GP Consortia PROVIDERS DPH
  • 12. Vision, but what about outcomes? Health minded and health-seeking people Both workers and citizens (Self care, and self management reduces reliance on services) Adapted with thanks from Newcastle Model SHARED OUTCOMES JSNA Shared Data Sets Commissioning Priorities H & WB Strategy High Quality Strategy SHARED OUTCOMES Governance, Leadership and Organisation High Quality Partnership Structure HWBB Others Citizen Engagement & Co-Production Delivery Areas Provide Integrated Services Deliver shared outcomes Citizen Engagement & Co-Production
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Our Burdens of Disease Primary Secondary Tertiary Role for corporate and roles for core here
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Some approaches to a Board Loose, Strategic, Agree Priorities Task Group Other Agency or Partnership (CDRP) What is more important for the Board? Governance or Agreement?
  • 28. Outcomes and monitoring them Health minded and health-seeking people Both workers and citizens (Self care, and self management reduces reliance on services) Adapted with thanks from Newcastle Model SHARED OUTCOMES JSNA Shared Data Sets Commissioning Priorities H & WB Strategy High Quality Strategy SHARED OUTCOMES Governance, Leadership and Organisation High Quality Partnership Structure HWBB Others Citizen Engagement & Co-Production Delivery Areas Provide Integrated Services Deliver shared outcomes Citizen Engagement & Co-Production
  • 30. Thank you! A copy of a supporting paper “some thoughts on the DPH transition” should be in your pack [email_address] Or [email_address] Email – a lesson in joint working???

Hinweis der Redaktion

  1. I am going to talk about our experience of trying to address issues as they arose In most emergencies issues arise you do not plan for In this flu pandemic, we had neither a slow rising tide nor a flash flood experience but a mix of different issues in different parts of the country and the city I think what comes out of this is the need to seek to predict what systems of the City’s life will be most affected given what we now know, and then seek to make those resilient My guesses are most cities will see schools, nurseries and social care very affected In delivering this I am focusing on Local Authority services because this is a local authority seminar. I will, inevitably, do injustice to NHS family colleagues because of this. Setting up out of hours flu centres, for example, was a valuable experience for us. And the work of BADGER in developing clinical good practice in assessment and response is just one important piece of work from Birmingham I won;’t be able to do justice to. I will also inecvitably underestimate the role of the Birmingham Resilience Team and the multi-agency Birmingham Resilience Group. These have been hugely important and positive experiences.