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Australasian Faculty of Public Health
Medicine
National Training Conference,
2017.
Public health in the United Kingdom
John Middleton
President
UK Faculty of Public Health
170402 middleton j public health in the uk
Salus populi suprema
lex esto
Cicero
The health of the
people is the highest
law
Working with long time constants
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
Sandwell Valley,
King George
Playing fields
2014
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
New leisure
centres Tipton
Working with long time constants
Improving
outcomes
A life course  24th annual report for Sandwell
CHD Mortality 2000-2005
PERSONS, Less than 65 years
0.00
10.00
20.00
30.00
40.00
50.00
60.00
2000 2001 2002 2003 2004 2005
Rateper100,000
West Midlands England Sandwell
26
27
170402 middleton j public health in the uk
170402 middleton j public health in the uk
Figure 1, Teenage Conception 1998 - 2012
Sandwell's reduction since baseline (44%) is higher than England &
Wales's reduction of 40.8%. The West Mildands reduction has also
been lower than Sandwell at 42%. Figure 1, above, show that the
gap between Sandwell and England is reducing further.
 Maximise the capabilities
and control young and
adults
people have over their lives
: reduce the social gradient
of skills and qualifications
Working together, March 2015: John Middleton Vice president Faculty of Public Health
Working together, March 2015: John Middleton Vice president Faculty of Public Health
Marsch Addiction 1997
Domestic burglary Sandwell 2001-2005
Full implementation
drug intervention
project doubling
numbers of drug users
in treatment
1300 fewer
domestic
burglaries
33% fall
170402 middleton j public health in the uk
A box plot of the
Baseline SAP
measures for the
Sandwell MBC
housing stock,
1st April 2001, by
housing type,
n=25,595 dwellings
A box plot of the
Baseline SAP
measures for the
Sandwell MBC
housing stock,
31st March 2011,
by housing type,
n=25,595
dwellings
Housing and health -Results:
Significant relationship of improved thermal
efficiency with reducing excess winter deaths
Adjusting for all of the other variables there is
negative association between improved thermal
efficiency and the odds of being admitted as an
emergency
People in warmer homes appear to be admitted less
for serious illnesses
The result is statistically significant
The effect size appears large
Table 2 a Preventable causes of hospital admission, Sandwell and Western Birmingham
Clinical commissioning group, 2012-13
170402 middleton j public health in the uk
170402 middleton j public health in the uk
Asset based community health
Strengths not deficits
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
Options for life self-built community centre
Options for life
Salop drive and Ideal for All Growers
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
i- House, demonstration
house West Bromwich
2008
Good corporate citizen award
38 apprentices
Rationalisation of offices : 6
leases surrendered
890 tonnes of CO2 reduction
贈200k saved
170402 middleton j public health in the uk
Wolverhampton
Universitys Health Futures
University Technical
college, built in West
Bromwich, opened
Autumn 2015
Providing
education
and
prospects for
careers in
health,
public health
and care for
14-19 year
olds
My presidency
Build local authority relationships
Build relationships in health and public health
services in four nations of the UK
Do things jointly where possible - policy statements,
conferences
Implement new curriculum: personal effectiveness
and values and ethics; rebuild health protection and
health care public health
Develop member involvement
Ensure solid member services, build special interests
Develop faculty governance
Pursue 12 asks of the Manifesto
Planetary health
A Public health curriculum for young people
Brexit, drugs, air pollution, AMR, violence prevention
Dont just fight for the profession of public health
fight for the publics health
 Middleton J, ISIS, crop failure and no anti-biotics: what training will
we need for future public health? European J Public Health 2016;
https://eurpub.oxfordjournals.org/content/26/5/735
 Middleton J, Weiss M. Still holding on: public health in the UK after
Brexit. Euroheathnet journal 2016; 22:no 4: 33-35. (ISSN 13561030)
http://www.euro.who.int/__data/assets/pdf_file/0010/325945/Euro
health-V22-N4-2016.pdf?ua=1
 Middleton J. Public health in England in 2016the health of the
public and the public health system: a review Br Med Bull (2017) 1-
16. DOI: https://doi.org/10.1093/bmb/ldw054 and
http://academic.oup.com//bmb/article/doi/10.1093/bmb/ldw054/287
1226/Public-health-in-England-in-2016the-health-of-
the?guestAccessKey=8f7a33a1-bdbf-4db4-948c-fd6b6293a259
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
1001 critical days
Personal health and social
relationships education, PHSE in all
schools
2 hours physical activity per week
reinstated
Stop marketing of foods high in sugar, salt and fat,
before the 9pm watershed and tighten marketing
restrictions
Introduce 20% duty on sugar sweetened beverages
Tackle alcohol related harm by introducing a minimum
unit price for alcohol of at least 50p
Rapidly implement standardised tobacco packaging
20 Mph speed limits
A living wage
Reaffirm commitment to universal
health care system free at the point of
need funded through general taxation
170402 middleton j public health in the uk
Invest in active transport to promote good
health and reduce our impact on climate change
Implement a cross national approach to meet
climate change targets, including a rapid move to
a 100% renewables and a zero carbon energy
system
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
170402 middleton j public health in the uk
President gets cross on Childhood
obesity strategy- August 2016
Scottish conference sings Freedom
come all ye
With Northern Irish colleagues in
Belfast for the public health walk
William Drennan- patriot,
radical, poet, obstetrician
and champion of public
health
Presidents visit to Wales, January 2017
A role for our economics special interest group ?
A role for our economics special
interest group ?
Inclusive growth or degrowth
A role for our
economics
special
interest group
?
A role for our
climate change
special interest
group
170402 middleton j public health in the uk
The Birmingham Tornado,
2005
Saving lives with solar Royal
North midlands Hospitals, Stoke.
http://www.campaigncc.org/sites/data/files/
Docs/one_million_climate_jobs_2014.pdf
Where there is no vision the
people suffer
Andrija Stampar, Yugoslavian Public health pioneer and WHO founding
father
After Proverbs/29-18.
Protecting
resources from one
generation to the
next
The Welsh
Wellbeing of
Future
Generations Act,
2015
The Iroquois Nation  every decision
made must be made with future
generations in mind.
In all of your deliberations in the Confederate
Council, in your efforts at law making, in all your
official acts, self interest shall be cast into oblivion.
Cast not over your shoulder behind you the
warnings of the nephews and nieces should they
chide you for any error or wrong you may do, but
return to the way of the Great Law which is just and
right. Look and listen for the welfare of the whole
people and have always in view not only the
present but also the coming generations, even
those whose faces are yet beneath the surface of
the ground -- the unborn of the future Nation."
And to conclude 盒彫
170402 middleton j public health in the uk
170402 middleton j public health in the uk
it's not who
your doctor
is, it's who
you vote for,
that most
affects your
health
Thank you
Professor John Middleton
Faculty of Public Health
president@fph.org.uk

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170402 middleton j public health in the uk

  • 1. Australasian Faculty of Public Health Medicine National Training Conference, 2017. Public health in the United Kingdom John Middleton President UK Faculty of Public Health
  • 3. Salus populi suprema lex esto Cicero The health of the people is the highest law
  • 4. Working with long time constants
  • 22. Working with long time constants
  • 24. A life course 24th annual report for Sandwell
  • 25. CHD Mortality 2000-2005 PERSONS, Less than 65 years 0.00 10.00 20.00 30.00 40.00 50.00 60.00 2000 2001 2002 2003 2004 2005 Rateper100,000 West Midlands England Sandwell
  • 26. 26
  • 27. 27
  • 30. Figure 1, Teenage Conception 1998 - 2012 Sandwell's reduction since baseline (44%) is higher than England & Wales's reduction of 40.8%. The West Mildands reduction has also been lower than Sandwell at 42%. Figure 1, above, show that the gap between Sandwell and England is reducing further.
  • 31. Maximise the capabilities and control young and adults people have over their lives : reduce the social gradient of skills and qualifications
  • 32. Working together, March 2015: John Middleton Vice president Faculty of Public Health
  • 33. Working together, March 2015: John Middleton Vice president Faculty of Public Health
  • 35. Domestic burglary Sandwell 2001-2005 Full implementation drug intervention project doubling numbers of drug users in treatment 1300 fewer domestic burglaries 33% fall
  • 37. A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 1st April 2001, by housing type, n=25,595 dwellings
  • 38. A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 31st March 2011, by housing type, n=25,595 dwellings
  • 39. Housing and health -Results: Significant relationship of improved thermal efficiency with reducing excess winter deaths Adjusting for all of the other variables there is negative association between improved thermal efficiency and the odds of being admitted as an emergency People in warmer homes appear to be admitted less for serious illnesses The result is statistically significant The effect size appears large
  • 40. Table 2 a Preventable causes of hospital admission, Sandwell and Western Birmingham Clinical commissioning group, 2012-13
  • 43. Asset based community health Strengths not deficits
  • 47. Options for life self-built community centre
  • 49. Salop drive and Ideal for All Growers
  • 54. i- House, demonstration house West Bromwich 2008
  • 55. Good corporate citizen award 38 apprentices Rationalisation of offices : 6 leases surrendered 890 tonnes of CO2 reduction 贈200k saved
  • 57. Wolverhampton Universitys Health Futures University Technical college, built in West Bromwich, opened Autumn 2015 Providing education and prospects for careers in health, public health and care for 14-19 year olds
  • 58. My presidency Build local authority relationships Build relationships in health and public health services in four nations of the UK Do things jointly where possible - policy statements, conferences Implement new curriculum: personal effectiveness and values and ethics; rebuild health protection and health care public health Develop member involvement Ensure solid member services, build special interests Develop faculty governance Pursue 12 asks of the Manifesto Planetary health A Public health curriculum for young people Brexit, drugs, air pollution, AMR, violence prevention Dont just fight for the profession of public health fight for the publics health
  • 59. Middleton J, ISIS, crop failure and no anti-biotics: what training will we need for future public health? European J Public Health 2016; https://eurpub.oxfordjournals.org/content/26/5/735 Middleton J, Weiss M. Still holding on: public health in the UK after Brexit. Euroheathnet journal 2016; 22:no 4: 33-35. (ISSN 13561030) http://www.euro.who.int/__data/assets/pdf_file/0010/325945/Euro health-V22-N4-2016.pdf?ua=1 Middleton J. Public health in England in 2016the health of the public and the public health system: a review Br Med Bull (2017) 1- 16. DOI: https://doi.org/10.1093/bmb/ldw054 and http://academic.oup.com//bmb/article/doi/10.1093/bmb/ldw054/287 1226/Public-health-in-England-in-2016the-health-of- the?guestAccessKey=8f7a33a1-bdbf-4db4-948c-fd6b6293a259
  • 66. 1001 critical days Personal health and social relationships education, PHSE in all schools 2 hours physical activity per week reinstated
  • 67. Stop marketing of foods high in sugar, salt and fat, before the 9pm watershed and tighten marketing restrictions Introduce 20% duty on sugar sweetened beverages Tackle alcohol related harm by introducing a minimum unit price for alcohol of at least 50p Rapidly implement standardised tobacco packaging 20 Mph speed limits
  • 68. A living wage Reaffirm commitment to universal health care system free at the point of need funded through general taxation
  • 70. Invest in active transport to promote good health and reduce our impact on climate change Implement a cross national approach to meet climate change targets, including a rapid move to a 100% renewables and a zero carbon energy system
  • 75. President gets cross on Childhood obesity strategy- August 2016
  • 76. Scottish conference sings Freedom come all ye
  • 77. With Northern Irish colleagues in Belfast for the public health walk William Drennan- patriot, radical, poet, obstetrician and champion of public health
  • 78. Presidents visit to Wales, January 2017
  • 79. A role for our economics special interest group ?
  • 80. A role for our economics special interest group ?
  • 81. Inclusive growth or degrowth A role for our economics special interest group ?
  • 82. A role for our climate change special interest group
  • 85. Saving lives with solar Royal North midlands Hospitals, Stoke.
  • 87. Where there is no vision the people suffer Andrija Stampar, Yugoslavian Public health pioneer and WHO founding father After Proverbs/29-18.
  • 88. Protecting resources from one generation to the next The Welsh Wellbeing of Future Generations Act, 2015
  • 89. The Iroquois Nation every decision made must be made with future generations in mind. In all of your deliberations in the Confederate Council, in your efforts at law making, in all your official acts, self interest shall be cast into oblivion. Cast not over your shoulder behind you the warnings of the nephews and nieces should they chide you for any error or wrong you may do, but return to the way of the Great Law which is just and right. Look and listen for the welfare of the whole people and have always in view not only the present but also the coming generations, even those whose faces are yet beneath the surface of the ground -- the unborn of the future Nation."
  • 90. And to conclude 盒彫
  • 93. it's not who your doctor is, it's who you vote for, that most affects your health
  • 94. Thank you Professor John Middleton Faculty of Public Health president@fph.org.uk