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LGA/ADPH suicide prevention SLI programme

October 9, 2019 in ADPH Updates, Mental Health, Publications, Sector Led Improvement by admin

The LGA and ADPH are pleased bring to your attention the suicide prevention sector led improvement programme prospectus. The following support is available 2019/20:

  • National: a series of tools, products and events designed to provide wider and easier access to the good practice, learning and existing resources. This includes a series of webinars and a masterclass in Spring 2020.
  • Regional: grant funding allocated to ADPH networks to build on and support regional suicide prevention SLI activity
  • Local: bespoke expert support for up to twelve local authorities and partners who self-identify as facing significant delivery challenges locally around suicide prevention.

This prospectus provides more detail on each of the elements.

Expressions of interest in bespoke support are now open, closing 5PM 1st November 2019. The two-page-long submissions should cover the following two areas:

  1. Describe the suicide prevention delivery challenge to be explored by the bespoke support
  2. Provide evidence of local need

If the number of expressions of interest exceed the current level of support, priority will be given to areas whose significant local challenges would not be successfully addressed by other elements of the programme, in conjunction with the two elements set out above. Further details of each aspect can be found in the attached prospectus and on the website: www.local.gov.uk/suicide-prevention

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What Good Looks Like

June 28, 2019 in ADPH Updates, Children, Young People and Familes, Obesity, nutrition and physical activity, Publications, Sector Led Improvement, Tobacco by admin

The Association of Directors of Public Health (ADPH) and Public Health England (PHE) have co-produced a series of ‘What Good Looks Like’ (WGLL) publications that set out the guiding principles of ‘what good quality looks like’ for population health programmes in local systems.

The WGLL publications are based on the evidence of ‘what works and how it works’ including effectiveness, efficiency, equity, examples of best practices, opinions and viewpoints and, where available a return on investment.

Each publication sets out the guiding principles of what good quality looks like for population health programmes in local systems and aims to be a practical resource for leaders and practitioners in the public health system in England.

The publications are not perfect standards, nor are they intended to be compared against as a performance management tool. They are intended as a tool in assist in the sector-led improvement (SLI) process and to support local resource decisions. Some ADPH networks are developing
specific SLI tools from them and we would encourage others to take up that opportunity.

The WGLL publications will be a repository for evidence and a resource for good quality practice from the essential to the transformational which professionals can dip in to when reviewing their own practice, setting up peer challenge or transforming services.

The initial series will include ten publications covering a range of topics across public health. They will be iterative, with regular reviews and updates when new evidence and insights emerge. The intention is to add to the ten WGLL publications with additional topics to create a rich and good quality resource.

Comments on the publications and particularly any ways in which they could be developed or improved are welcome. Please share them with us, or through the PHE Knowledge Hub.

What Good Looks Like publications

Click to download a PDF of the publication. New publications will be added as they are released.

Visit K-Hub to see publication updates, case studies and view and submit comments.

Annual Review 2018-19

May 28, 2019 in Annual Reviews, Publications by Teresa Grandi

ADPH Policy Positions

December 19, 2018 in Active Travel and Physical Activity, ADPH Updates, Air Pollution and Climate change, Alcohol and Drugs, Built Environment, Children, Young People and Familes, Commercial Determinants of Health, Health and Social Care Services, Housing, Integration & Devolution, Mental Health, Obesity, nutrition and physical activity, PH Funding, PH System, PH Workforce, Policies, Policy Statements, Publications, Sexual and Reproductive Health, Sustainability and Climate Change, Tobacco by Lucy Sutton

In November 2017, ADPH published a series of policy position statements on eight key topics alongside a narrative document exploring roles and enablers within the public health system. These position statements have since been reviewed and updated.

These statements bring together the views and recommendations of our members on eight key public health topics: outdoor air quality, alcohol, tobacco, drugs, obesity, sexual health, housing, and mental health. The narrative is a collation of existing ADPH publications and views from the membership with key recommendations to ensure the public health system is fit for the future.

These statements will help us to drive our policy work forward and push for our members’ recommendations in all the policy work that we do.

If you would like to discuss anything in these documents please do contact the ADPH Policy Team by emailing policy@adph.org.uk.

370 KBADPH Policy Position – Air Quality (Nov 2018)

378 KBADPH Policy Position – Alcohol (Nov 2018)

394 KBADPH Policy Position – Drugs (Nov 2018)

286 KBADPH Policy Position – Housing and Health (Nov 2018)

403 KBADPH Policy Position – Mental Health (Nov 2018)

387 KBADPH Policy Position – Obesity (Nov 2018)

433 KBADPH Policy Position – Sexual Health (Nov 2018)

279 KBADPH Policy Position – Tobacco (Nov 2018)

264 KBADPH Narrative on the UK Public Health System (Nov 2018)

Providing A Lifeline: Effective Scrutiny of Local Council Strategies to Prevent or Reduce Suicide

November 2, 2018 in ADPH Updates, Mental Health, Publications by Lucy Sutton

The Centre for Public Scrutiny, the Local Government Association and ADPH have published the report ‘Providing a Lifeline: Effective Scrutiny of Local Council Strategies to Prevent or Reduce Suicide’. The publication looks at effective scrutiny of local strategies to prevent or reduce suicide, focusing on context and relevance for scrutiny, quality improvement and the role of scrutiny and provides 10 questions for scrutiny committees to ask. 

The publication can be viewed here.

 

 

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Sector-led improvement in public health: Progress and potential

October 26, 2018 in ADPH Updates, Publications, Sector Led Improvement by admin

Embedding SLI in public health has become a real collaboration between partners. The LGA, ADPH and PHE are working together to support its development at regional, national and local levels. You can view the most recent joint publication here.

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Tackling alcohol, challenging the norm

September 28, 2018 in ADPH Updates, President's Blog, Publications by admin

I remember arriving in the UK as a Junior Doctor to work in the NHS in the mid-90s. The nurses were my new friends, and I used to join them at 9pm post shift for a crawl down the Derby Mile.

The bigger the group, the more the rounds to be gotten through before the 11pm closing hour bell rang. Then curry and Cobra at the end. Not something I had known before, but seemingly commonplace and well, normal.

I jumped into my new social scene with gusto, before long exceeding any recommended unit count, and rapidly putting on weight. A trip back home allowed for a welcome detox and sensible reflection and resolve.

Drinking too much. So easily done when it’s so normal.

The normalisation of harmful heavy drinking

Around that time, there seemed to be an explosion of new product development, new marketing approaches, new ‘normal’ ways of drinking – I remember the bursting onto the stage of alcopops, the surge of stag and hen dos, the creative, free-flowing Happy Hour promotions …

Licensed premises have exploded in numbers since 2005/6 – in my borough, there was a 41% increase. Schools and even hairdressers joined the corner stores and 24 hour pubs.

Since 1970 the amount of alcohol consumed per person has risen by 50% in the UK. Over that period alcohol has become relatively cheaper and more readily available. Alcohol is aggressively and expertly marketed and drinking has become a normal feature of everyday life.

Alcohol can play a positive social and economic role – and the large majority of people enjoy alcohol without harm. However, excessive alcohol use can have a harmful effect on individuals, their families and our community. The number of alcohol-related admissions to hospitals in England has risen yet again, with middle-aged drinkers most likely to be admitted, according to new Public Health England figures. We know we need to do something.

Navigating new approaches to population health

We know that public health issues such as these are too complex for a business as usual approach. We do need to challenge our own thinking and innovate – while developing, and keeping an eye on, the evidence of what works.

Partnering with Drinkaware could be just such a shift. However major changes in approach need careful consideration – a precautionary approach. The Alcohol Leadership Board should have been a place to talk this through with experienced and knowledgeable people.  The ADPH was therefore disappointed at PHE’s independent decision to collaborate with Drinkaware which has led us to a place where we, as a public health system in the broadest sense, have been, in effect, arguing publicly. And sadly, it is likely that this will lead to further confusion for the public around the actual messages about alcohol harm.

The key point is that alcohol is produced for profit. The more that is sold, the greater the profit. The industry spends billions creating new markets, promoting its product and lobbying for favourable business conditions. It spends some on corporate social responsibility (CSR).

A critical review in the latest (Sept) edition of WHO’s Public Health Panorama: Alcohol industry actions to reduce harmful drinking in Europe: public health or public relations? concluded that CSR activities conducted by the alcohol industry in the WHO European Region ‘are unlikely to contribute to WHO targets but may have a public-relations advantage for the alcohol industry’.

And we can all now quote the evidence review produced by PHE (2016) which demonstrated that education campaigns on their own, and particularly those with industry involvement, will not reduce alcohol harm.

These are some of the reasons why the public health community has a healthy scepticism of all things alcohol industry. As we noted in last week’s BriePH (the regular briefing for Directors of Public Health), ADPH has a clear Ethical Collaboration and Sponsorship Policy which sets out that the ADPH ‘will not work with, or accept donations from, organisations whose activities, policies, aims or objectives contradict or are inconsistent with its own’ – this includes partnerships with organisations involved in tobacco or alcohol manufacture. We regard Drinkaware as being too close to the alcohol industry. ADPH remains a member of the Alcohol Leadership Board. But we believe partnering with Drinkaware as they currently stand is unethical.

Missing the value DsPH can bring

I’m sure many of us can tell our own stories of how ‘normalised’ high risk drinking is in our communities and boroughs.

Directors of Public Health recognise that nationally developed social marketing campaigns such as the ‘One You’ have their part to play – and many have adapted these locally. Linking the One You brand with the Drinkaware campaign – without DsPH having any input – may adversely affect these local efforts. And declaring the campaign is ‘where the people are’ forgets that DsPH work closely with elected members and local residents. To some of us, it’s unhelpful and galling.

There is much work to do to reduce the harm. Minimum Unit Pricing, Health as a 5th Licensing Objective, adequate funding of treatment and recovery services and a levy on alcohol driven business to support the cost to councils and police of keeping safe and clean town centres are all part of that. The ADPH is committed to working with, challenging and supporting partners in the public health system – including PHE – to make sure we unite behind efforts known to have impact.

Making measles history together: resource for local government

September 25, 2018 in ADPH Updates, Health Protection, Policies, Publications by Lucia Lucas

ADPH have endorsed PHE’s new measles guidance report for local government which was published on the 11th of September 2018.

Read the report here.

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Annual Review 2017-18

July 9, 2018 in Annual Reviews, Publications by admin

Annual Review 2017-18.

174 KBAnnual Review 2017-18

Four Nations Study – A comparative systems review and thematic policy analysis of public health across the four constituent countries of the UK

July 2, 2018 in ADPH Updates, Publications by Lucy Sutton

This research project has been completed on behalf of the ADPH by the School of Health and Related Research at the University of Sheffield, with support from the Health Foundation.

By developing an evidence-based public health systems framework, the report explores the similarities and differences between the public health systems in England, Scotland, Northern Ireland and Wales since national devolution to identify areas for shared learning. The framework was refined through systematic reviews of the public health systems overall and of an example area  ‘child development in the early years’.

We would like to hear your views on the report – Get in touch with Dr Amy Barnes at a.barnes@sheffield.ac.uk and tell us how these findings could be taken forward to inform policy and practice and how debate in and between nations can be promoted to create more opportunities to learn from each other?

2 MBFour Nations Study Report

2 MBFour Nations Study – Visual Summary [print]

2 MBFour Nations Study – Visual Summary [online]

15 MBInfographics – Public Health Systems Framework

4 MBInfographics – Early Years Policy in the UK from the Child’s Perspective