Duncan Selbie’s Friday message – 9 November 2018


Dear everybody

Prevention is best than remedy. It emphatically saves lives and cash however is unusual as successive nationwide coverage has centered on shorter time period investments. So it was such constructive information this week that on Monday, Secretary of State Matt Hancock MP launched his Prevention Vision on the International Association of Public Health Institutes convention (IANPHI), which PHE has been internet hosting in London. Good health underpins a wholesome financial system and vice versa.  Health and wealth go hand in hand and we have to higher assist folks to remain effectively and in work for longer, in order that they want the NHS much less and later in life. When individuals are unwell, we additionally must assist them to remain unbiased in their very own residence for longer, avoiding a transfer into hospital or the care sector. This imaginative and prescient outlines the Government’s intention to see a much bigger share of NHS sources going into prevention, notably via major care and psychological health companies. It additionally emphasises the significance of health in all insurance policies and the promised Green Paper on prevention will deal with this. Read extra in our blog.

This week the IANPHI annual assembly was held over 4 days and introduced collectively National Public Health Institute administrators from nations everywhere in the world, plus representatives from the World Bank and the World Health Organization. No matter what number of 1000’s of miles separate us, we all know that infectious illnesses can simply travel throughout borders and all of us face the identical issues of non-communicable illnesses (NCDs). NCDs account for 4 of the 5 main causes of loss of life internationally with numbers one and two being ischaemic coronary heart illness and stroke. This annual assembly is about studying from one another and attending to know one another, one thing all of us had to enhance on following the expertise of the Ebola outbreak in West Africa. It was good to see so many nice public health leaders in London and all of us have a lot to replicate on and plenty of conversations to proceed.

Antimicrobial resistance is a precedence and on our Government’s National Risk Register. This week, via a giant collaborative effort, PHE and NICE have revealed a ‘go-to’ toolkit for prescribers in all care settings, placing essentially the most as much as the minute recommendation  in a single place.  The steering focuses on managing widespread infections, utilizing proof evaluations to assist acceptable antibiotic use and alternate options to antibiotics to handle signs the place acceptable. Each guideline subject contains a visible abstract of the suggestions, a suggestion and an proof evaluation. NICE have additionally lately endorsed PHE instruments to assist the implementation of urinary tract infections pointers in numerous contexts. Combined, these sources ought to assist us ship the nationwide ambitions to halve each healthcare-related gram-unfavorable bloodstream infections and inappropriate antibiotic prescribing and finally maintain our antibiotics working.

This week, we have now up to date our Public Health Outcomes Framework (PHOF) data tool. The framework contains indicators throughout the total spectrum of public health, and provides native authorities the chance to benchmark and examine their very own outcomes with different native authorities. They can do that via the Fingertips internet instrument. In our replace this week, we have now up to date 46 indicators within the framework, together with quite a few indicators of mortality by trigger, substance misuse completion charges, and reported violent and sexual offences. Our blog summarises the nationwide image, exhibiting continued enhancements within the untimely mortality charges from most cancers and heart problems, and the suicide fee. Conversely, we are able to see there are ongoing, regarding inequalities in outcomes, and a few indicators of mortality exhibiting little change from the earlier time level, after quite a few years of consecutive enhancements.

And lastly, our ICT staff have been recognised by business consultants for our hybrid cloud internet hosting mannequin, having been shortlisted for the 2018 VMworld 2018 European Awards in two classes.  Our cloud infrastructure permits use of our inner cloud answer or safe exterior public cloud choices, based mostly on the perfect technical and worth for cash answer, and helps PHE’s scientific and excessive efficiency computing wants, together with modelling and genomics. My due to Sam Lloyd, our Deputy Director of ICT and Francesco Giannoccaro, our Head of High Performance Computing and Infrastructure Services and their groups for this excellent achievement and the quiet, skilled service they ship 24/7 to assist our frontline companies.

Best needs

Duncan



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