JIGSAWNEWS

Summer 2014
Public Health Information for EHPs
Putting the Pieces Together
You are never too old to learn and I must admit
attending the recent Health + Care exhibition at Excel in
London was a real eye opener. Like many EHPs my
experience of commissioning is very limited so putting
me in a hall full of companies trying to sell everything
from dietary supplements to ambulances it took a while
to acclimatise. When I did nd my feet though it became
apparent that the wider determinants of health was not
an area that many people had even considered. From a
sales point of view it seems a lot easier to try to treat
the symptoms instead of stopping the cause. It also
makes commercial sense, no cause, no symptoms, no
need for a cure, no long term business model. What
really stood out though was one conversation I had with
a representative of a CCG. They had developed a tool to
look at re-admission rates for certain conditions which
seemed a good idea. On closer examination though it
became clear everything was very medically based and
didnt take account of the environmental setting
patients were discharged back to. This led to the
inevitable question; When you complete your work in
hospital and discharge your patients back into the
community do you know what they are going home to?
To me the consequences seemed obvious for example
send a COPD patient back into an Air Quality
Management Area without any support and its likely
you will see them again fairly shortly. I however quickly
learned that putting the pieces of this particular jigsaw
together is not something that everyone thinks about.
At one stage I even got told were light years from being
able to share that kind of information. Quite why I still
have no idea. Interestingly enough HealthWatch have
just begun an information gathering exercise called
What happens when people get sent home? (link
opposite) which provides an excellent opportunity for
everyone to mention the effects of the wider
determinants of health and hopefully start to t a
few more pieces together.
Have a great summer!
Jigsaw Links
Health & wellbeing Board priorities across England
Interactive Map - LGA
http://bit.ly/1l7Gh8l
World Health Statistics 2014 - WHO
http://bit.ly/1uyyfAc
Shale Gas and Fracking Examining the Evidence -
CIEH
http://bit.ly/UFmCa5
Health inequalities: starting the conversation - PHE
http://bit.ly/1zlDqTl
Tackling Tuberculosis - Local government's public
health role - LGA
http://bit.ly/1plMDXp
Managing the care of people with longterm
conditions - House of Commons Health Committee
http://bit.ly/X38WHV
NICE Excess Winter Deaths Consultation
http://bit.ly/1nyurKy
What happens when people get sent home? -
Healthwatch
http://bit.ly/1mY5d3t
See what everyone is talking about
Join us on the
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at www.RHEnvironmental.co.uk
Public Health Conference 2014
Plans are well underway for this years Hertfordshire
Public Health Conference which will take place on Tuesday
November 4th in Stevenage. The event will be FREE for all
Public Health Professionals living or working in
Hertfordshire. Watch #HertsPublicHealth for more details.
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Did You Know:
The Met Ofce Heatwave Alert
system operates between June
1st and 15th September every
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Did You Know:
The highest temperature recorded in
the UK was 38.5C at Faversham in
Kent on 10th August 2003.
I had a
ploughman's
lunch the
other day. He
wasn't very
happy.
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Stanley Says:
During the heatwave of 2003 over
20,000 excess deaths were recorded
across Europe. In Paris research showed
41% of the people who died lived in one
room apartments, 92% of victims lived
alone and 25% had no friends family or
social links. In England, mortality in the
over 75s increased by 23%. The
maximum temperature in South East
England.exceeded 32C for 8 days during
August 2003.
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