Duncan Selbie’s Friday message – 11 January 2019


Dear everybody

The NHS Long Term Plan was revealed this week, which has a ten 12 months reform agenda with prevention and population health at its coronary heart. There are new, funded actions on tobacco management, assist for these most closely depending on alcohol, heart problems and from early years to dementia and far else.

This has concerned a collective effort by many throughout the general public health household, working with NHS colleagues and I need to say a giant thanks for that.

We need folks to dwell more healthy lives, to make use of the NHS much less and later in life, to have the ability to keep in work for longer and when they’re unwell, to remain in their very own dwelling for longer. This is a public health narrative now shared by the NHS with sensible costed actions.  It can be an agenda for strengthening private duty alongside nationwide and native motion, and the place prevention turns into more and more personalised, making optimum use of digital platforms and behavioural science.

Local authorities have now been accountable for commissioning public health companies for 5 years and have introduced appreciable talent and ingenuity to bettering outcomes and saving cash, each vital with reductions within the public health grant.

The rationale for native authorities to steer on public health stays unchanged, however the NHS plan has requested whether or not there’s a stronger function for the NHS to play in commissioning sexual health, health visiting and college nursing. This work might be led by the Department of Health and Social care to make sure we’ve the absolute best be part of up between the NHS and native authorities and that resourcing is correctly thought of by the spending evaluate. Local authority administrators of public health will carry invaluable experience and perception to this.

In different information this week, our indicators present that flu is now circulating in England. We are at present seeing a pressure known as A(H1N1)pdm09,  that always impacts working-age adults and kids. The excellent news is that this pressure is nicely matched to the strains within the flu vaccines for this season and uptake in pre-college age kids is at its highest ever. However, charges of vaccination amongst eligible adults together with pregnant girls are barely decrease than current seasons. It just isn’t too late to get vaccinated and doing so protects different folks.

The new UK Measles and Rubella Elimination Strategy was revealed on Wednesday, mapping out how we are able to obtain a future freed from measles, rubella and congenital rubella syndrome (CRS), which might result in severe delivery defects. Since it was launched within the UK in 1968, it’s estimated that the measles vaccination has averted 20 million measles circumstances and 4,500 deaths and the rubella vaccine has averted an estimated 1,300 CRS births and 25,000 terminations. This is an exceptional public health achievement. You can learn extra about measles in our blog.

And lastly, this week PHE knowledgeable the general public about two cases of extensively drug-resistant gonorrhoea with hyperlinks to a different European nation.  Both circumstances confirmed related patterns of resistance to each first line antibiotics used to deal with gonorrhoea, which could be very regarding. While each circumstances have been efficiently handled, they function a reminder that prevention is preferable to therapy.

​Best needs

Duncan

Friday messages from 2012-2016 are available on GOV.UK



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