Health and Wellbeing Board 30 January 2019 Amanda Healy Director - PowerPoint PPT Presentation

HEALTH PROTECTION ASSURANCE Health and Wellbeing Board 30 January 2019 Amanda Healy Director of Public Health County Durham Jo Darke Public Health Registrar, Health Protection Team Public Health England

The Taylor family 2018 Bowel Cervical screening screening Antenatal Breast 65-70 year Antenatal and screening vaccines vaccines newborn screening Diabetic AAA eye screening screening Healthcare Teenage acquired vaccines infection Care home Childhood outbreaks vaccines Sexual Pandemic health Flu Food borne Air quality infection

Process • Health protection annual report presented to HWB January 2018 • Review of the health protection assurance process undertaken • A health protection assurance day was held on 23 August 2018 with partner organisations • Health protection action plan now in place • Health Protection Assurance & Development Group will be established to oversee the reporting of progress of achieving the goals in the action plan

Health Protection Scorecard

Health protection strategies Screening programmes Immunisation programmes Outbreaks and communicable diseases Strategic regulation interventions Emergency preparedness

Immunisations Bowel Cervical screening screening Antenatal Breast 65-70 year Antenatal and screening vaccines vaccines newborn screening Diabetic Childhood vaccines AAA eye screening screening • Between the ages of 8 weeks and 3 years, children Healthcare Teenage acquired vaccines should received vaccines against 14 different bacterial infection Care home Childhood and viral infections. outbreaks vaccines • Uptake rates across County Durham are consistently Sexual above national targets. Flooding health Food borne Air quality infection

Immunisations Bowel Cervical screening screening Antenatal Breast 65-70 year Antenatal and screening vaccines vaccines newborn screening Diabetic AAA Adult vaccines eye screening screening • Healthcare National ambition for flu vaccine was not achieved. Teenage acquired vaccines infection • Decline in shingles vaccination uptake. Care home Childhood • outbreaks Both CCGs have similar uptake for pneumococcal vaccination vaccines to England (69.5%). Sexual Flooding health Food borne Air quality infection

Screening Bowel Cervical screening screening Antenatal Breast 65-70 year Antenatal and screening vaccines vaccines newborn screening Diabetic AAA Cervical Screening eye screening screening • Every: Healthcare Teenage acquired vaccines 3 years for women aged 25-49 years. infection Care home Childhood 5 years for women aged 50-64 years. outbreaks vaccines • Coverage rates for Durham (76%) higher than England (72%) Sexual but lower than 80% standard. Flooding health • Decline in recent years. Food borne Air quality infection • Targeted campaigns.

Screening Bowel Cervical Breast, bowel and AAA screening screening screening Antenatal Breast 65-70 year • Antenatal and Breast screening is recommended every 3 years screening vaccines vaccines newborn screening between 50-70. Diabetic AAA eye screening • Bowel screening is recommended every 2 years screening Healthcare Teenage acquired between 60-74. vaccines infection Care home • Childhood Abdominal aortic aneurysm (AAA) screening is outbreaks vaccines carried out once in men aged 65. • Breast, bowel and AAA screening rates are Sexual Flooding health consistently higher than the recommended Food borne Air quality infection standards.

Communicable disease Bowel Cervical screening screening Antenatal Breast 65-70 year Antenatal and screening vaccines vaccines newborn screening Diabetic AAA eye screening screening Healthcare Healthcare acquired infection Teenage acquired vaccines infection • Team of community infection control nurses for the County. Care home Childhood outbreaks vaccines • Rates of ecoli sepsis, C Difficile infection and MRSA sepsis are comparable or lower than the England average. Sexual Flooding health Food borne Air quality infection

Emergency Preparedness Bowel Cervical screening screening Antenatal Breast 65-70 year Antenatal and screening vaccines vaccines newborn screening Diabetic AAA Pandemic Flu eye screening screening • Healthcare Excess death plan Teenage acquired vaccines infection Care home Childhood outbreaks vaccines Sexual Pandemic health Flu Food borne Air quality infection

Conclusions • The health protection functions delivered by a range of organisations in County Durham demonstrate good overall performance • Good communication exists between the commissioners of the various programmes and the DPH and remedial and corrective interventions are instigated when necessary. Escalation procedures are in place in the event the DPH needs to raise concerns • There are however areas for potential improvement and actions to achieve these have been identified in the action plan • Monitoring towards achievement of these actions will be undertaken by the Health protection Assurance and Development Group and using the health protection scorecard • The health protection assurance and development group will meet quarterly and report to the HWB

Recommendations from the report • Note that the performance is generally higher than England averages and above target for most immunisation and screening programmes • Note that the DPH is largely satisfied that effective assurance processes are in place for communicable disease control, strategic regulation intervention and emergency preparedness • Support the implementation of the newly formed health protection assurance and development group which will oversee the reporting of progress towards achieving the goals detailed in the action plan in appendix 3 • Support further identification and response to emerging health protection priorities

Questions?