Public Health Brief by sXYI34


									Public Health Brief 3                                                          th
                                                                      Date: 25 March 2011

PURPOSE: A brief information paper on latest Public Health, CECPCT and NHS news for partners (Week
ending 25 March 2011)
Latest CECPCT News
1.   TCS: The CECH transfer to East Cheshire Trust (ECT) has been agreed. Future success
     will partly depend on the Trust maintaining a range of commissioning relationships (i.e. with
     Public Health England, CE and CW&C Local Authorities, the National Commissioning
     Board, VRCC and SCCC as well as the Eastern Consortia).

     East Cheshire Trust FT application: The PCT is now engaged with the SHA and ECT in
     developing a Tripartite Formal Agreement (TFA) by the 31 March 2011. The agreement
     will be between the DH, SHA and the Board of ECT. It will outline milestones in which the
     Trust much achieve in order to submit an FT application to Monitor by April 2013 at the

     Contract negotiations: Discussions with all our Trusts are on-going. There remain some
     large gaps between our ‘offers’ and the Trusts ‘requirements’.

     The Budget: The PCT Budget Book is going to the Board meeting on 29 March showing
     the high level position of out-turn less 1.5%. There are ongoing discussions taking place
     with the GPCCs regarding allocation of budgets.

     Targets - 18 Weeks: ECT has failed this target and MCHFT will fail the target in February
     by speciality.

     HR Guidance: we are expecting a fair amount of HR guidance to be issued later this
     month. There is a new concept of ‘sending organisations’ (PCTs, SHAs) and ‘receiving
     organisations’ (NCB, Public Health England, LAs etc). Sending organisations are exporters
     of staff, receiving organisations are importers. The plan is to produce national HR
     principles and then to require all the receiving organisations to produce HR plans to set out
     how they intend to deliver the national HR principles. It is not clear who will sign off the

     Events: Phil Lloyd, Heather Grimbaldeston and Sara Deakin all spoke at an event this
     week organised by the CE CVS. It brought together members of the Voluntary sector, the           C:\Documents and
     new GP Consortium, C&EC PCT, Local Authority staff, Trusts and Elected Members. It              Settings\HeatherGrimbaldeston\D
     sought to help people find out about the new health structures and discuss how changes
     would affect services. Agenda attached. Slides will be circulated next week.

     Cheshire and Merseyside DsPH met this week. There was a helpful update from the CM
     Sexual Health Network. This will be circulated when it becomes available. In the closed
     session HG presented a paper developed and written by Julie Sin describing public health
     support to consortia. It has been developed with Jerry Hawker and the East Consortia and
     was very well received. Copies available on request.

     Preparation and Assurance for 2011/12 Seasonal Influenza Immunisation
     The Chief Medical Officer (CMO) has written to the Strategic Health Authority (SHA) and         CMO Letter Seasonal
                                                                                                     Influenza Immunisation Programme.p
     PCT Immunisation and Flu Co-ordinators (who locally are Dr Guy Hayhurst and Ruth
     Ward) to set out the planning assumptions and assurance processes for next winters
     seasonal flu immunisation programme. The CMO letter confirms the details of those who

   are eligible for immunisation, and she also describes her expectation that local vaccine
   uptake should reach or exceed 75% in the three main target groups by 2013/14.

   During the 2010/11 season, our local GP practices successfully achieved an overall uptake
   of 77.4% for people aged 65 and over, 56.3% for people under 65 with clinical conditions,
   and 50.2% for pregnant women. 93,356 doses of vaccine were given to these people in
   these three main target groups. Guy and Ruth will be developing local public health targets
   for each GP practice to achieve in 2011/12 and subsequent seasons, and they will be
   providing assurance to the SHA Flu Lead at the end of April 2011 about the local

   The CMO letter (attached) also asks that SHA’s should assure themselves that every
   employer has ambitious flu immunisation programmes for frontline health and social
   care workers to significantly improve upon their current uptake. Guy and Ruth are
   contacting Local Authority and NHS Trust Occupational Health Leads to alert them to this
   assurance requirement. These workers should not be generally vaccinated by GPs.

   For further information contact:
   Dr Guy Hayhurst                                  Ruth Ward
   Consultant in Public Health                      Public Health Manager             

Latest News
   Launch of UK Influenza Pandemic Preparedness Strategy 2011.
   Released on Tuesday 22 March 2011, the strategy describes proposals for an updated
   UK-wide approach to planning for and responding to the demands of an influenza
   pandemic. Although the last pandemic of H1N1 ‘swine flu’ occurred very recently in 2009,
   there is an ongoing global threat to health from the H5N1 ‘avian flu’ virus

   The new strategy is based on the principles of precautionary proportionality and flexibility.
   The proposed UK approach to future pandemic response takes the form of five phases,
   provisionally named Detect, Evaluate, Treat, Escalate, and Recover.

   To view the strategy:

   The Department of Health seeks views on responding to mild, moderate and high impact
   pandemics, as well as the proposed five phase approach. To respond to the consultation:

   New online tool to help fight heart disease and stroke.
   A new tool to help the NHS better treat cardiovascular disease in every area of the country
   has been launched by the Department of Health. The online tool, compiled by the South
   East Public Health Observatory, has been developed so that local health services can
   assess the impact of cardiovascular diseases on their local populations. It also shows the
   quality and availability of services, and where a stronger focus on prevention could improve       CECPCT CVD
   outcomes for patients.                                                                              Profile.pdf

   A summary of how CECPCT is currently performing is attached, as well as the data for
                                                                                                   CECPCT CVD Profile
   To access the new cardiovascular profiles go to:
   You can also access the interactive atlas feature of the tool at:

   New online tool to monitor HIV and Sexually Transmitted Infections (STI’s).
   The profiles developed by the HIV and STI Department (HPA Centre for Infections) aim to
   support the PCT in monitoring their population’s sexual health and performance.                  HPV Sexual Health
                                                                                                   Profiles CECPCT
   The profiles consist of 3 interactive web tools:
    Trend - presents sexual health profiles by Primary Care Trust and over time

    Performance - compares indicators between Primary Care Trusts and against national
    HPI Singlemap – a ‘snap shot’ summarising key sexual health surveillance. Aims to aid
     commissioners and other healthcare professionals in identifying key sexual health
     challenges within and between PCTs.

   At the moment the range of indictors is restricted and not consistent across the 3 tools. The
   range will be expanded over time as further data sources including the genitourinary
   medicine clinic activity dataset (GUMCAD) become available.

   A summary of how CECPCT is currently performing is attached, plus a screen print of
   CECPCT from the performance tool. The tool should be able to export to JPEG but this
   feature is not currently working.

   To access the new Sexual Health profiles go to:
   A supporting User Guide is available at:

   NHS satisfaction 'at record high'. Public satisfaction with the NHS has reached record levels,
   according to the latest annual British Social Attitudes survey. Every year the British Social
   Attitudes survey asks over 3,000 people what it's like to live in Britain and how they think
   Britain is run. The survey tracks people's changing social, political and moral attitudes and
   informs the development of public policy

   NHS Headlines include:
       more members of the British public than ever believe that the NHS is doing a good
         job with 64% of people identifying that they were either very or quite satisfied with
         the NHS
       this is the highest level it has been since the survey began in 1983 and much
         higher than their levels of 39% in 2001 and part of a continuous upward tend since
       satisfaction with GPs was at 80% - 3% short of its highest level in the early 1990s
       for dentists satisfaction fell over the decade to 2009 from 53% to 48%
       the public now seems much more satisfied with outpatient and accident and
         emergency services than in 1999

   For more detail about the report:
   PHORCaST. Meaning "Public Health Online Resource for Careers, Skills and Training", it
   has been funded by the Department of Health to support the recruitment, retention and
   development of people working in public health (including health and wellbeing) at all
   levels, and working in all sectors. It is a useful resource to be aware of.
   Further information can be found by looking at:

Latest CECPCT Public Health Team News
   New cohort of InfoLink Champions trained. Thursday 17 March
   2011 saw members of the Public Health Team - Emma Leigh,
   Lorna Jones (pictured right) and Julie Carney (pictured left) - deliver
   an InfoLink Training Day at Reaseheath College, Nantwich.

   Working in partnership with Claire Wilson, Nantwich LAP Manager,
   and run in response to issues identified by the Health & Wellbeing
   sub group of the Nantwich LAP, InfoLink training was delivered to
   representatives from a number of agencies (CAB, Nantwich
   Children’s Centre, Wulvern Housing. NFU Mutual, Agricultural
   Chaplaincy) who operate in the Nantwich Town and Nantwich Rural
   area and who come into contact with vulnerable and isolated
   members of the public and communities.

     Along with delivering the core health modules (5 Ways to
     Wellbeing, Alcohol Effects, Stop Smoking, Why Weight Matters,
     and Cancer Awareness) bespoke modules were created for this
     training event around Sexual Wellbeing, Domestic Abuse and
     Finance and Living Well – topics which had been identified as
     priority issues within Nantwich LAP.

     The newly trained InfoLink Champions have now been provided with key information to use when coming
     into contact with the members of the public and communities that they reach as part of their every day role,
     as well as being skilled up on how to use the information, promote health and wellbeing, where to look if
     trying to identify other sources of information and who and how to refer to other services and specialist

     For further information about InfoLink:
     Contact: Emma Leigh, Public Health Manager,

Latest Guidance of Interest
     Public Mental Health and Wellbeing – the local perspective. Produced by the NHS
     Confederation in partnership with the National Mental Health Development Unit, this report
     examines local leaders' perceptions of public mental health and well-being, the progress
     they have made, how they are acting on recent evidence, and how addressing mental
     illness and improving mental well-being go hand in hand. The report is based on interviews
     and focus groups with:
          heads of primary care trusts
          GP practices
          local authorities
          public health services
          mental health trusts.

     The report makes clear the strong evidence base for improving local environments,
     intervening in the early years where necessary, supporting parents, working with schools to
     help improve mental well-being and taking action to reduce health inequalities. It sets out
     the evidence base for improving mental well-being while providing case studies of what is
     already being done in many local areas across England

     To view the report:

Events of Interest
                                                                                              th    th
     NHS Confederation Conference & Exhibition. To be held between 6 – 8 July 2011, at
     the Manchester Central Convention Complex, Petersfield, Manchester. This Conference
     brings together leaders from across the whole health system. Key note speakers at this
     years Conference include:
          Professor Dame Sally Davies, Chief Medical Officer for the UK
          Rt Hon Andrew Lansley MP, Secretary of State for Health
          Sir David Nicholson, Chief Executive of the NHS

     For further information look at:

The Week
12   Published every Thursday on the Department of Health website, The Week provides need-
     to-know news, consultations and events for NHS chief executives and their teams, plus
     other partners. It provides links to more information and resources, highlighting areas for           The Week 18th -
     action. The Week can be accessed via:                                  24th March 2011.pdf

     In this weeks edition:

    On the Agenda
    1. Fukushima Power Plant, Japan – low risk of radiation
    2. UK Influenza Pandemic Preparedness Strategy
    3. David Behan video blogs

    Policy news
    1. PCT controlled drug Accountable Officers

    Consultations and evaluations
    2. Supporting intensive work with Looked After Children
    3. Healthy lives, healthy people consultations closing

    4. Consultation response - Review of access to the NHS by foreign nationals
    5. Guidance to support operation of the Cancer Drugs Fund in 2011/12

For any further information regarding any of the contents of this briefing, please contact:

Dr Heather Grimbaldeston                       or             Matthew Cunningham
Director of Public Health                                     Assistant Director of Public Health (Acting)                 
01606 275319                                                  01606 544382

Dr Heather Grimbaldeston    Mike Pyrah                    Cllr Andrew Knowles       Erika Wenzel
Urvashi Bramwell            Phil Lloyd                    Lorraine Butcher          Peter Hartwell
Dr Julie Sin                Lucia Scally                  Dr Guy Hayhurst           Davina Parr


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