With the release of the long awaited Government white paper and the recent announcement of a radical new approach including the formation of a new integrated Public Health service we ask Georgina Jupp, Managing Director of CK Academy to take a look at some of the detail and consider its implications on our sector.
So often it’s a bit like trying to find the proverbial needle in a haystack as we attempt to stamp our mark and role in any kind of structured sense. Yet again we find ourselves attempting to remonstrate and cajole key decision makers…or is that just my viewpoint? So let’s have an overview of the thrust of the paper as it directly relates to us.
Some stark facts around what our bad habits cost the NHS as if we needed convincing!
- 1 in 5 adults smoke – with 80,000 people killed every year by smoking and a colossal £2.7bn cost to the NHS in England - YET only £150m spent on smoking cessation.
- 2 out of 3 adults are overweight or obese with 30,000 people a year killed by obesity and an annual cost to the NHS of £4.2bn (trebling in the last 20 years)
- 1 in 3 adults drink over the maximum daily amount with 26,000 deaths a year caused by alcohol related conditions and a cost of £3 bn for illness and injury
- Musculoskeletal conditions, circulatory disease and mental health disorders account for over 70% of the burden of long stay ill health; many are directly related to lifestyle choices.
- Dementia is expected to double by 2030 – lifestyle and diet have huge implications here and a cost to the NHS of £17b per year
The new Public Health Service will be THE principle advisory service on all health matters, with a dedicated responsibility to improve everyone’s health and well-being.
It will look to positively promote health behaviours and lifestyle adapting environments to make this easier and to encourage wide spread responsibility.
With development and implementation in its remit, it will work to involve local government, communities and GP consortia as they in turn become an integral part of local strategies over the next couple of years.
It will carry a strong message focusing on prevention rather than better treatment and declaring itself as a ‘public health service’ and NOT a national sickness service.
The White Paper focuses on a wealth of priorities; for the sake of this article I have included those that would appear to have the strongest links to our sector, namely:
- Helping people live longer, healthier and more fulfilling lives, particularly improving the health of the poorest fastest, (those living in the poorest areas will on average die 7 years earlier than those in richer areas and spend up to 17years more living with poor health).
- ‘Unleashing innovative and liberating professional leadership’
- Local government and communities will be central to improving health
- In 2011 the DoH will publish a number of documents outlining the priorities; these include obesity, mental health and other ‘wider determinants of health’.
- Taking better care of children and its impact on unhealthy lifestyles.
- Being in work leads to better physical and mental health, saving the UK up to £100 billion per year by decreasing working-age ill health.
- Changing behaviours to decrease premature death, illness including cancers, vascular dementias and over 30% of circulatory diseases.
‘At a glance’ connections for our sector include the introduction of:
- The launch of physical activity initiatives for active ageing
- Olympic and Paralympics style sports competitions offered to all schools from 2012.
- The development of the ‘Change4Life’ campaign, (although this has been cut, so will be interesting to see what happens here).
- Stronger incentives for GPs so that they play an active role in public health.
However, areas of concern include the ‘apparent’ lack of direct involvement of our sector so it remains to be seen how much impact we are allowed to have.
We are in interesting times, I alternate between feeling real excitement that our time has come and maddening feelings of sheer and utter frustration!
What should be so much more straightforward and all embracing is still such a hard slog, yes things are changing, and it’s undoubtedly true we do have a voice albeit not a very loud one!
BUT after so much effort, willingness and innovation why do I still feel like the poor relation? I want to see a real shift to prevention, efficacy and a sector focus on behaviour change, I know we CAN do it, working in collaboration with health, however we also need to look to ourselves and step up to the plate collectively and quickly.
We must address the issue of the right type of training and appropriate development of our staff; this is a whole article on its own!
We must integrate into our communities – however, hard it is. We have to speak to healthcare in THEIR language, prove we are providers of choice, have consistency and clarity around expectations and measurement and demonstrate real and tangible health outcomes for patients – shout ‘the exercise is medicine’ message.
We need to look at our facilities and really ask ourselves if they are fit for purpose for this new way of thinking.
We have never been more vital to the health of the nation – however, is the model designed to help those most in need?
We must be recognised for so much more than purely increasing physical activity, too often we are put into this box without acknowledging all the other benefits we offer.
WE NEED TO REMAIN CRYSTAL CLEAR IN OUR FOCUS, STEADFAST, UTTERLY DETERMINED AND UNITED! – We are here to stay!