Duncan Selbie's Friday message – 2 March 2018

Dear everybody

There is not any different approach to start this week apart from saying thanks to native authorities and to each particular person throughout the well being and social care household who has battled the so known as ‘Beast from the East’ to maintain folks protected and properly throughout treacherous climate circumstances. It takes willpower, cautious planning and fairly actually grit to make sure important companies are stored up and working for the general public throughout wintry spells as dangerous as this one. You can discover our recommendation on staying heat and properly here.

Five years in the past, NHS public well being companies returned to native authorities after a 40-year interregnum. With this got here a brand new statutory obligation to enhance the well being of the folks, and so they have taken this on with tempo and ambition. It is now frequent follow for native authorities to place the general public’s well being on the coronary heart of their planning and insurance policies. This week, the Local Government Association printed a brand new report known as ‘Public well being transformation – 5 years on’, which presents case research on the transformation work of native public well being groups and the way they’re integrating companies and enhancing outcomes. Local authorities have weathered essentially the most fiscally demanding ask of any public service and we don’t recognise sufficient the revolutionary work that has been taken ahead, not regardless of the monetary problem, however typically due to it. See the total report here.

Antibiotics are essential to fashionable medication and have been saving thousands and thousands of lives since their introduction within the 1940s. However in latest instances resistance has accelerated and that is partly related to the general quantum of prescribing – basically the extra that will get prescribed, the better the resistance. The excellent news is that prescribing has dropped by 5% since 2012, much less good is that PHE research printed this week reveals that 1 in 5 prescriptions are inappropriate. England has a nationwide ambition to chop inappropriate prescribing by 50%, so from this knowledge we have now a baseline that we will observe progress towards and we are going to proceed to help the well being system in assembly this goal.

There is at the moment an outbreak of Lassa fever in Nigeria, a haemorrhagic sickness that’s regular for the nation however at the moment circulating at unusually excessive charges. Following a request from the Government of Nigeria, the UK Public Health Rapid Support Team (UK-PHRST), collectively run by PHE and the London School of Hygiene and Tropical Medicine, deployed to southern Nigeria this week. The workforce consists of epidemiologists, clinicians and logisticians, who will present technical help to the Nigerian Government, World Health Organisation, and different companions. The UK-PHRST regularly displays infectious ailments and different hazards globally, figuring out conditions the place the deployment of specialist experience may forestall these threats from turning into a world outbreak. Our press launch has extra information.

Placing communities on the coronary heart of the general public’s well being can empower folks, create linked and resilient communities, interact these most vulnerable to poor well being and scale back well being inequalities. Our newest version of Health Matters, which was launched on Wednesday, focuses on group belongings and the Family of Community-Centred Approaches, a framework developed to symbolize a few of the sensible and evidence-based choices that can be utilized to enhance group well being and wellbeing. This was a file breaker with greater than 350 folks on the decision. You can see the total version here and study extra in our blog.

And lastly, in England yearly there are 800 million biomedical investigations and PHE is among the largest suppliers of NHS pathology companies, that means our laboratories are extremely busy always. Pathology is an important cog within the remedy pathway and this week, due to glorious partnership work between PHE and the North Bristol NHS Trust, a brand new cutting-edge pathology laboratory was opened at Southmead Hospital.  Thanks to everybody who labored onerous to get this operational; and to our joint groups who course of round 5,000 samples day by day in North Bristol alone.

With greatest needs,

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