The London Health Commission: an opportunity for children young - - PowerPoint PPT Presentation

The London Health Commission: an

• pportunity for children young people

Professor Yvonne Doyle Regional Director, PHE London Dr Marilena Korkodilos Deputy Director, Specialist Public Health Services, PHE London Thursday 9 April 2015

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The Need for City-Wide Action

• The London Health Commission was requested by

the Mayor of London in 2013

• Chaired independently by Lord Ara Darzi
• A unique and new opportunity to raise profile of

public health

• Regional Director of PHE London invited to chair

expert group on health and inequalities

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https://www.youtube.com/watch?v=Oc0w_VKv1cA

London Health Commission

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• Investing in health through

a life course approach

• Empowering people and

adopting an asset based approach

• Tackling non-

communicable health challenges

• Examining return on

investment

• Adding value through

partnerships

2020 principles followed by the London Health Commission

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What did the Commission initially

• bserve?

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Excellent Civil Society Engagement

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We looked at our community and environmental assets and compared how other cities had used these for the benefit of their populations.

London’s Assets….

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Put London at the centre of the global revolution in digital health

Better children’s services

Better health

London Health Commission (2014) Better Health for London

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Put London at the centre of the global revolution in digital health

• 53% of London’s five year
• lds reach a good level of

development and being ready for school

• There is wide variation

across London linked to deprivation and place

• There is no London wide

systematic focus on pre- school and early years parenting interventions

Better parenting

’

฀ ฀ ฀

Children in London achieving a good level of development at age 5, by level of deprivation, 2010(2)

London Health Commission (2014) Better Health for London

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Put London at the centre of the global revolution in digital health

• London has the highest

proportion of obese children in all the regions

• f England
• Obesity is a particular

challenge for some of London’s poorest and its minority communities

• Having a fast food outlet

within 160m of a school is associated with a 5% increase in obesity

Childhood obesity

EXAMPLE – the Forest Gate area of Newham

London Health Commission (2014) Better Health for London

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Put London at the centre of the global revolution in digital health

• Schools are the ideal place to get

children off to a healthy start to life. Good education improves health, poor health harms education

• Physical activity improves

motivation, reduces unhappiness and improves learning - only 55%

• f London’s children are physically

active

• Education also lowers the chances
• f teenage pregnancy and

influences rates of sexually transmitted infections

Healthier schools

London Health Commission (2014) Better Health for London

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Put London at the centre of the global revolution in digital health

• Poor mental health in childhood has a

significant impact on educational achievement, health and employment in adulthood

• Half of all mental illness starts before a

child reaches the age of 14 and three- quarters of lifetime mental health disorders have their first onset before 18 years of age

• 1 in 10 children in London have a

diagnosable mental health disorder - 3 in every class. Between 1 in 12 and 1 in 15 deliberately self harm - admissions to hospital have increased by 68% in 10 years

Better children’s mental health services

London Health Commission (2014) Better Health for London

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Put London at the centre of the global revolution in digital health

• Health and care services for children

in London are hard to access, poorly coordinated between primary, secondary and tertiary care and there are inadequate links between them

• London’s hospitals need to ensure

that there are enough paediatric staff with the right skills, experience and seniority for good clinical decision making available every day

• There is a lack of planning and

coordination of services across London

Better children’s physical health services

Across London there is unacceptably wide variation in mortality rates across boroughs for both infants and older

• children. There is a threefold difference

between the best and worst performing boroughs

London Health Commission (2014) Better Health for London

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• Health and care commissioners should jointly develop a new model to

improve support for parents of vulnerable children under three

• The Mayor should use the ‘London Plan’ planning guidance to support

local authorities in protecting London’s children from junk food through tighter controls within 400 metres of schools and to promote access to healthier alternatives

• Local authorities, the GLA and Public Health England should work with

Ofsted to ensure more data is published on school health and wellbeing

• Health commissioners and providers should launch a process to

address the variation in quality of care for children and to propose actions to improve outcomes

Recommendations

London Health Commission (2014) Better Health for London

Ten aspirations for London

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Put London at the centre of the global revolution in digital health

London Health Commission (2014) Better Health for London

Give all London’s children a healthy, happy start to life Enable Londoners to do more to look after themselves Get London fitter with better food, more exercise and healthier living Ensure that every Londoner is able to see a GP when they need to and at a time that suits them Make work a healthy place to be in London Create the best health and care services of any world city, throughout London and on every day Help Londoners to kick unhealthy habits Fully engage and involve Londoners in the future health of their city Care for the most mentally ill in London so they live longer, healthier lives Put London at the centre of the global revolution in digital health

Better Health For London: Next Steps

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“We aim to ensure that all children are school-ready by age 5, achieve a 10% reduction in the proportion of children obese by Year 6 and reverse the trend in those who are overweight” 1. A city-wide approach 1. Collaborating for London 1. Fostering further partnerships 2. Creating a shared vision for London

NHS Transformational Prospectus

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A collaborative prevention programme in partnership with Public Health England, London Councils and the Greater London Authority.

• Embedding health and wellbeing

starting with children

• Improving workplace health, within and

beyond the health and care system

• Taking innovative action to reduce

smoking and obesity and promote wellbeing

• Developing new and stronger

partnerships to promote health

• Examining opportunities to tackle city-

level health challenges

Key themes to inform our thinking

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• Leadership
• Knowledge information and
• utcomes
• Existing gaps in service

provision

• Listening to

Need to see

how our views and opinions are taken into account Focus on what would help young people to get where they need to – related to their futures

London’s CYP: Demography

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CYP population

1 in 4

Children living in poverty

3 in 10

Children living in poor housing

1 in 7

PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource Picture credits: London designed by Housin Aziz from the Noun Project

London’s CYP: Key facts

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PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource Picture credit: Scale designed by Cyril S from the Noun Project

Infant mortality

1 in 245

Low birth weight

• f term babies

1 in 30

Smoking in pregnancy

1 in 17

London’s CYP: Key facts

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PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource

Did not complete DTaP/IPV/Hib at 1 year

1 in 10

Did not complete MMR at 2 years

1 in 8

London’s CYP: Key facts

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PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource

5 year olds with tooth decay

3 in 10

4-5 year olds who are overweight

• r obese

1 in 4

10-11 year olds who are overweight

• r obese

2 in 5

London’s CYP: Key facts

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PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource

Young people with a mental health problem

1 in 10 1 in 39

Teenage mothers Did not complete HPV at 12-13 years

1 in 5

London’s CYP: Why invest?

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PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource

Annual Cost (£millions)

£200m £195m £35m

London’s CYP: Why invest?

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PHE London (2014) The health and wellbeing of children and young people in London: An evidence based resource

Contraception Young people's drug and alcohol services Targetted parenting programmes to prevent conduct disorders Every £ invested in Saves…..

£8 £8 £11

Discussion

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• In what areas does it make sense to work together?
• How could we work together using combined resources

and in what way?

• What can PHE London offer to assist in the delivery of

your objectives?

• How can we develop solutions which are informed by the

people who will benefit?