@brannanm.bsky.social
Public Health Consultant, Barking and Dagenham Council. Tweeting in personal capacity on public health issues.
Interested in smoking and vaping? I will be giving a UCL Lunch Hour Lecture covering lots of our recent research findings in this area.
The lecture will take place online on 29 May, 1-2pm. It’s free and all are welcome to attend. You can register here: www.ucl.ac.uk/events/event...
Since the pandemic, wellbeing in adolescents has been declining, and educational inequalities widening. So what's the solution?
Join us on 18 June for a free webinar discussing how we can stop educational inequalities widening. 👇
www.rsph.org.uk/event/school...
Exciting opportunity as Health Inequalities Programme Manager for Barking & Dagenham Place HI prog (until Dec 2026)
Coproduced across LA,NHS & VCSFE, programme incl 10 workstreams developing & testing new approaches
Closes 14/5
Please share!
www.lbbd.gov.uk/council-jobs...
Toolkit on scaling for impact volunteer-led organisation coproduce with 5 VCS organisations
Scale Vs growth
Two phases (Design, Systematise & Pilot)
Six mindsets required for sustainable scaling
bit.ly/44AwWqM
New Active Lives adults data:
Continued ⬇️physical inactivity (still 1 in 4 tho)
Persistent inequalities
No short term, but long term ⬆️economic inequalities in activity by individual & place
Activity lowest for those w 2+ inequalities
⬇️cycling
Pre-C19 levels of team sport
Learning from 'Marmot places' approaches to ⬇️health inequalities @marmotihe.bsky.social @local.gov.uk
6 case studies from 50 places using local frameworks based on Marmot indicators
Can't do 1 or 2, do the 8;“Do the eight! We very consciously did not order them in priority.”
tinyurl.com/4dp4yy6z
Thread explores 5% uplift in Public Health Grant still leaves in 25% lower than 15/16
Decline greatest in deprived areas.
Intervention cost per additional year of good health:
£3.8k Public Health
£13.5k NHS
Will limit progress on health inequalities & Prevention
Great thread welcoming 25/26 Public health Grant uplift, but leaves PHG 25% lower than 15/16
Decline greatest in deprived areas
PH intervnetions =£3.8k/additionla year of food health V £13.5k in for NHS
Limits progress on health inequalities & prevention
McDonalds using f£ & legal means to stop LAs preventing new takeaways to protect residents
Evidence is clear that limiting density:
Supported by public (<1 in 10 opposed)
⬇️obesity
Save money 4 services
zenodo.org/records/1373...
Toolkit for LAs: zenodo.org/records/1334...
t.co/kyNyI9Ir8o
Great blog on how Prevention will never be funded without restructuring NHS funding (& significant funding & service reductions in acute system)
It doesn't mention it is 11 years since NHS 5 Year Forward View said "Getting serious about prevention"!!
Not everyone can/will be happy
t.co/4J5CddQbsf
Housing tenure & associated costs is increasingly leading to divergence in many outcomes for home owners & renters
Private renters pay 3x £/sq m than owners
This work suggests at least half housing affordability gap based on ethnicity relates to tenure
www.resolutionfoundation.org/publications...
Interesting findings in annual survey of Londoners:
-Differences between home renters & owners
-Lower job satisfaction in those with lower health satisfaction
-Majority favour speed limits
-2 in 3 satisfied with local area
-Satisfaction in GP services
www.londoncouncils.gov.uk/news-and-pre...
Faith groups are critical public health partners
Report on social prescribing suggests roles at Neighbourhood, Place & System levels
Practical 'How to' guides' for SP Link workers & faith groups
www.churchworks.org.uk/our-work/wel...
Regional & local breakdowns of annual social value of sport & physical activity
Constituents values:
'primary'-wellbeing participating & volunteering
'Secondary'- wider savings to health and social care system
For B&D it is £246k (£220k & £29k respectively)
www.sportengland.org/news-and-ins...
Expert panel recommendation of new definition & diagnostic criteria for obesity based on clinical illness of pre-clinical or clinical obesity
Suggest focussing therapeutic interventions on clinical obesity
Aligns with NICE proposal for roll out of new weight loss drugs.
We're delighted to announce that @sallywarren.bsky.social will be joining our next #PublicHealthSpaces to discuss the 10-Year Health Plan!
@profkevinfenton.bsky.social, Prof Zafar Iqbal, Dr Amanjit Jhund & Rachel Johns will share their expert views.
Register today ➡️ www.fph.org.uk/events-cours...
CMO report on health in cities
Considers characteristics & implications for health
Key challenges:
Health effects of housing
Food env
Vaccination & screening rates
STIs
Access to physical activity
Air pollution
Case studies incl London
Incl analysis of specific issues
www.gov.uk/government/p...
Hackney SPD for child-friendly spaces
“Children are a kind of indicator species. If we can build a successful city for children, we will have a successful city for all people.”
8 designs principles
Incl activity/play on doorstep, not just playgrounds
hackney.gov.uk/child-friend...
Report on housing impacts on health from @marmotihe.bsky.social
UK crisis:
1 in 7 CYP in temp accommodation
Costs £18.5bn/yr (educational achievement, productivity, H&SC), incl £1.4bn to NHS
Need cross-sector approach focusing on:
Quality
Supply
Affordability
Environment
Reccs across 8 areas
Considering 'missingness' rather than DNA for appointments could improve efficiency & outcomes
Study of 824k patient records
High # missed GP appointments➡️high outpatient & inpatient hospital care but not emergency care signalling high treatment burden
pmc.ncbi.nlm.nih.gov/articles/PMC...
Paper considers creation of national Gov Preventative Department Expenditure Limits (PDEL) mechanisms to identify, account & track spend on prevention
Consider prevention in 3 areas that have seen up to 78% cut:
Health
Homelessness
Children's Social care
demos.co.uk/research/cou...
DHSC-funded analysis of smoking impact on life expectancy (LE):
1 cig➡️20 mins⬇️ LE
Pack of 20 cigs ➡️7 hours⬇️ LE
⬆️LE of 10-a-day smoker after quitting:
Week ➡️1 day ⬆️LE
Month ➡️1 week
8 months ➡️1 month
Year➡️50 days
Smoking reduces midlife healthy years
onlinelibrary.wiley.com/doi/10.1111/...
Inspiring @fphuk.bsky.social @rcgp.bsky.social webinar tody on realising potential of GPs on reducing health inequalities
Emerging models:
RCGP GPwER Pop Health & Health Inequals
DeepEnd GP pioneers
Fair Health GP trailblazers
CSFs:
Dedicated time
Dev support
Local PH link
Coproduction
VCSFE link
A potential 'natural experiment' on alcohol policy (eg Minimum Unit Pricing) as alcohol deaths fall in Scotland & rise in England.
Alcohol deaths in NE England now higher than Scotland
People have maintained increased consumption during COVID
Particular issue in those 55-74yo
esearch into lack of use of science in policy making
80% said policy makers lack understanding of science
73% said researchers lack understanding of how policy work
“It’s a constant tension between the scientifically illiterate & politically clueless”
www.nature.com/articles/d41...
Not sure what happened to the Gov's "Health mission"
Presumably they forgot the UK has:
2nd highest LTC burden in G7 behind USA
Only G7 country with lower employment than pre-Covid
Av. 4 LTCs for those dropping out of work due to health
obr.uk/frs/fiscal-r...
Good health underpins ALL missions.
Resources on Story telling for system change @cpi-foundation.bsky.social
Aims:
Deepen understanding
Influence decision makers
Offer new vision
Incl:
What good story telling looks like
Challenges
Start by listening!
centreforpublicimpact.org/resource-hub...
We are delivering a free webinar on 10th December, hosted by the Anna Freud Centre on our project funded by the Department For Education to increase uptake and engagement of family hub service. bookings.annafreud.org/s/event/a4VQ...
#BehaviouralScience
#FamilyHubs
Population Health Management webinar worth watching; @healthfoundation.bsky.social
Incl:
Learning from @TheKingsFund report
Panel insights
PHM moves from “hindsight to insight” for planning
Despite confusion / lack of single model people are 'getting on with it'
www.health.org.uk/about-the-he...
A strategy = what you will & won't do, not goal(s)
Tips:
1. Communicate your logic
2. It's not just a top-down process
3. Let selection happen organically
4. Make change your default
hbr.org/2017/11/many...
