Fairer Outcomes for All

The Welsh Public Health Conference 21 September 2011 SWALEC Stadium Cardiff

21 September 2011 SWALEC Stadium Cardiff Programme

Dear Delegate 9.00am Registration, exhibition and posters

Welcome to the first annual Welsh Public Health Conference. 10.00am Opening – Bob Hudson, Chief Executive, Public Health Wales 10.05am Sir Muir Gray, Director, the Oxford Centre for Our theme is taken from the health inequities action plan launched last year – Healthcare Transformation – Variation ‘Fairer Health Outcomes for All.’ 10.35am Dr Tony Jewell, Chief Medical Officer for Wales – The health inequalities challenge for Wales The conference objectives are to: 11.10am , First Minister • Develop understanding and learning on health inequities in Wales; 11.25am Exhibition, posters and refreshments • Take forward action on tackling health inequities in Wales; 11.55am Lesley Griffiths, Minister for Health and Social Services • Inform policy making and practice; and 12.05pm Panel discussion: • Raise the profile of public health in Wales - David Sissling, Chief Executive, NHS Wales Interest in the conference was immediate and substantial. You are one of more than - Andrew Jones, Executive Director of Public Health, 200 policy makers, leaders and public health professionals attending today. All sectors Betsi Cadwaladwr University Health Board will be present. - Local Authority Leader (tbc)

One final note: the conference is being held in Cardiff which, alongside Swansea, is - Nick Bennett, Chief Executive, Community Housing Cymru Group one of two officially designated ‘healthy cities’ in Wales. There are lessons for every 1.00pm Exhibition and lunch community in Wales – not just those in urban areas – from the work coming out of 2.00pm Dr Jessica Allen, Marmot Review – 'A Healthy Future for Wales' these cities. Today provides an opportunity to learn from them. Fair society healthy lives: progress and future challenges Enjoy the conference. And, most importantly, take the learning and put it into action. 2.20pm Clive Needle, Director, EuroHealth Net – Health towards EU 2020

Kind regards 2.40pm Break out session s/ workshops - Building Health into all Policies and all Policies into Health: Applying the lessons learned from Healthy Cities (Nina Williams and Susan Toner, Public Health Wales) - Giving Every Child a Healthy Start in Life: Engaging and mobilising the workforce in implementing key public health interventions (Shantini Paranjothy, Public Health Wales) - Developing Health Assets in Communities: (Beverley Frowen, WLGA) - Making Health and Social Services More Equitable: Laura Gallagher, Powys Association of Voluntary Organisations) - Improving the Health of the Working Age Population: Worklessness (Professor Sir Mansel Aylward, Public Health Wales)

Dr Tony Jewell Professor Sir Mansel Aylward CB 3.40pm Reports from workshops Chief Medical Officer for Wales Chair, Public Health Wales 4.10pm Professor Sir Mansel Aylward, Chair, Public Health Wales – Bevan Commission Report: Future Challenges for public health in the reformed NHS Wales 4.30pm Cochrane reception 5.00pm Introduction to the Cochrane Lecture – Professor Stephen Monaghan, Faculty of Public Health 5.10pm Cochrane Lecture: Professor Stephen Palmer – “Delivering Fairer Health ” Cochrane's Legacy for Reproductive and Early Years Health 6.10pm Vote of thanks – Dr Tony Jewell, Chief Medical Officer for Wales 6.15pm Close

2 THE WELSH PUBLIC HEALTH CONFERENCE THE WELSH PUBLIC HEALTH CONFERENCE 3 Partners Speakers biographies – plenary sessions

The Jessica Allen The Welsh Government is the devolved Government for Wales. We are Jessica Allen is the Project Director for the Strategic Review into Health Inequalities Post 2010 (the Marmot working to help improve the lives of people in Wales and make our Review) and Co-Director of the European Review into Health Inequalities. Prior to this she was Head of nation a better place in which to live and work. Health and Social Care at Institute for Public Policy Research, research fellow in public health at the Kings Fund, and worked at Unicef and London School of Economics. She has published widely on issues relating to health and social care policy. She holds a doctorate from the University of London.

Public Health Wales Professor Sir Mansel Aylward CB, Chair Public Health Wales MD FRCP FFOM FFPM HonFFPH Public Health Wales is an NHS organisation providing professionally independent public health advice and services. Our ambition is to Professor Sir Mansel Aylward CB is the first-ever Chair of Public Health Wales – a new unified NHS Trust achieve a healthier, happier and fairer Wales. This is a vision we share responsible for the delivery of public health services at national, local and community level in Wales. He is with our stakeholders. We can only achieve it by working together. also Director of the Centre for Psychosocial and Disability Research at Cardiff University which offers a Our purpose is to give people power to protect and improve health unique opportunity to extend knowledge and understanding of the psychosocial, economic and cultural and wellbeing and reduce inequities. We do this by informing, advising factors that influence health, illness, recovery, rehabilitation and reintegration. From 1996 to 2005 he was and speaking up for them. Chief Medical Advisor, Medical Director and Chief Scientist at the Department for Work and Pensions, and Chief Medical Adviser and Head of Profession at the Veterans Agency, Ministry of Defence. Professor Sir We work locally and nationally and, in particular, we support the Mansel Aylward CB was knighted in the Queen’s New Years Honours 2010 for services to health and Directors of Public Health as part of an integrated public health system healthcare. in Wales. Together, we support the NHS, local government and others.

Nick Bennett, Community Housing Cymru Group

Nick Bennett has been Chief Executive of Community Housing Cymru (CHC), the national membership body Welsh Council Voluntary Action for not for profit housing providers since 2006. In 2010 CHC formed a group structure with Care and Repair Cymru and the new Centre for Regeneration Excellence Wales. Nick has been a founding executive director Wales Council for Voluntary Action represents, campaigns for, supports of both an economic development consultancy and public affairs agency. Between 2000 and 2002 he was and develops voluntary organisations, community action, and Cabinet Special Adviser to the Deputy First Minister in the Welsh Assembly Government. volunteering in Wales. It represents the sector at a UK, and national level; and together with a range of national specialist agencies, county He is a member of the Welsh Language Board, of Glas Cymru and was a member of the All Wales voluntary councils, volunteer centres, and other development agencies, Convention. Nick is also the UK representative for Housing Europe, the European liaison committee for it provides a support structure for the third sector in Wales. It has social housing, which promotes the right to a decent home for all. 3,000 members, and is in touch with many more organisations through A fluent Welsh speaker, he is married with three children. a wide range of national and local networks.

Sir Muir Gray CBE, MD, Director, the Oxford Centre for Healthcare Transformation

Welsh Local Government Association Muir Gray entered the Public Health Service from a career in academic surgery in 1972 as a local authority The Welsh Local Government Association (WLGA) represents the employee in the County Borough of Oxford. He has been involved with every type of health service from interests of local government and promotes local democracy in Wales. smoking cessation to environmental protection, from antenatal counselling to end-of-life care. It represents the 22 local authorities in Wales and the four police He currently has three part time jobsHe is a Consultant in Public Health in the NHS, working to ensure that the authorities, three fire and rescue authorities and three national park research influences practice, he is the founding Director of the charity called Knowledge Into Action which is authorities are associate members. leading the National Campaign for Walkiing and the Campaign for Greener Healthcare he is the Director of the The WLGA's primary purposes are to promote better local government Oxford Centre for Healthcare Transformation, a company which uses podcasting and other Web 2.0 technology and its reputation and to support authorities in the development of to help those who pay for and manage healthcare create systems and change the culture of the organisations in policies and priorities which will improve public services and which they work. He was awarded the CBE in 1998 and knighted in 2007 for services to the NHS. democracy.

4 THE WELSH PUBLIC HEALTH CONFERENCE THE WELSH PUBLIC HEALTH CONFERENCE 5 Speakers biographies – plenary sessions

Lesley Griffiths AM, Rt Hon Carwyn Jones AM, Minister for Health and Social Services First Minister for Wales

Lesley Griffiths was brought up in North East Wales and has lived and worked in Wrexham all her adult life. Prior to his election, Carwyn Jones was a barrister in chambers in Swansea specialising in Criminal, Family and Personal Injury Law and a professional tutor at Cardiff University Law School. She was elected to the National Assembly for Wales in May 2007 and has sat on the Communities and Culture, Carwyn Jones was appointed as a Deputy Secretary in March 2000 and replaced Christine Gwyther as Agriculture Sustainability and Audit Committees and Legislation Committee No. 5. She set up and chaired the Cross Party and Rural Development Secretary on the eve of the Royal Welsh Agricultural Show in July 2000. In March 2002 Hospice Group. In December 2009, she was appointed Deputy Minister for Science, Innovation and Skills. the role of Business Minister was added to his Rural Affairs portfolio. In June 2002 he was appointed Minister for Following re-election to the National Assembly for Wales in May 2011, Lesley Griffiths was appointed Minister Open Government. In May 2003 he was appointed Minister for the Environment, Planning and the Countryside. In for Health and Social Services. May 2007 he was appointed Minister for Education, Culture and the Welsh Language and from July 2007 was appointed Counsel General and Leader of the House. Following the retirement of AM in December 2009, he was appointed . He was appointed to the Privy Council on 9 June 2010. Bob Hudson, Chief Executive, Public Health Wales Clive Needle, Director EuroHealth Net Bob joined the NHS in 1982 as a graduate trainee in Gwent. His early career was spent in acute hospital Clive Needle is an independent international public policy advisor for organisations. Since 1999 he has been management within West Glamorgan Health Authority before returning to Gwent to work in the field of strategic advisor and director for EuroHealthNet, a network of public bodies developing health promoting community and mental health care. He was CEO of Gwent Community Health NHS Trust for six years before policies in Europe. Clive has directed its policy work on health in all EU policies and actions on social, economic undertaking strategic policy work for the Welsh Office Health Department. Bob was also CEO of Gwent Health and environmental determinants of health, from its Brussels offices. Clive represents the network on bodies Authority from 2001 to 2003. He joined the Civil Service in 2003 as Regional Director for South East Wales for the such as the EU Health Policy Forum and the EU Platform on diet, physical activity & health. Health and Social Services Department and was appointed Director of Strategy and Planning in 2007. He returned Clive has advised and supported numerous activities of the World Health Organisation, including chairing and to the NHS in September 2009 as Chief Executive, Public Health Wales. moderating international processes and events for health promoting schools, poverty and health, social determinants and health, transport, climate change and environment. Since 2010 Clive has become European Representative for Health Action Partnerships International, a new Dr Tony Jewell, initiative to support technical assistance, capacity development and public health improvement globally. Chief Medical Officer Professor Stephen Palmer Dr Tony Jewell took up the post of CMO Wales in April 2006. Prior to this he was Clinical Director and Director of Professor Stephen Palmer is a physician who trained in communicable disease epidemiology at the Communicable Public Health for Norfolk, Suffolk and Cambridgeshire Strategic Health Authority. Disease Surveillance Centre, Colindale and the Centres for Disease Control, Atlanta. Dr Jewell trained as a GP and worked in East London for 10 years. He then trained in public health medicine in In Wales in 1983 he set up and directed the CDSC Wales unit until 1998. He was awarded the UK Faculty of Public East Anglia becoming a Director of Public Health in Peterborough and Cambridgeshire before being appointed to Health’s Alwyn Smith medal in 2008. the Strategic Health Authority. Since 1993 he has also held a Cardiff University appointment, first as Director of the Welsh Combined Centres for He has worked in the Department of Health and is past President of the UK Association of Directors of Public Health. Public Health, then in 1998 as the Mansel Talbot Professor of Epidemiology and Public health and in July 2010 he was appointed as the first Archie Cochrane Professor in Epidemiology and Public Health. He has published widely His professional interests include primary care, preventing accidents and injuries and reducing health inequalities. on infectious disease epidemiology and control, especially of zoonotic infections, and has more recently been developing new research areas in non-environmental hazards and social epidemiology particularly in relation to the built environment, health neighbourhoods and housing. He leads the “Health and Connected Communities” research theme in the new Cardiff University Sustainable Places research Institute. Andrew Jones, Director of Public Health, Betsi Cadwaladwr University Health Board David Sissling, Chief Executive, NHS Wales Andrew Jones is the Executive Director of Public Health for the Betsi Cadwaladr University Health Board, the largest of the integrated Local Health Boards (LHBs) in Wales. The early part of David Sissling’s career was spent in the private sector. He joined the National Health Service (NHS) in 1993 becoming Chief Executive of the Leicester Royal Infirmary NHS Trust in 1998. Prior to his appointment as DPH, Andrew was the Regional Director of Public Health (North Wales) / Director of Health Improvement with the National Public Health Service for Wales (NPHS). Subsequently David was Chief Executive of Northamptonshire Health Authority, the Leicestershire, Northamptonshire and Rutland Strategic Health Authority, and the Northern Ireland Health and Social Care In 2003, he became the first individual to be accepted onto the UK Public Health Register and was appointed as a Authority. He joined the Healthcare for London team in February 2008 to lead a programme of change to consultant in public health with the NPHS. Andrew is a fellow of the Faculty of Public Health of the Royal College deliver world class healthcare services. of Physicians of the UK and a fellow of the Chartered Institute of Environmental Health. Before being accredited as On 1st October 2009 he took up the post as Chief Executive of Abertawe Bro Morgannwg University Local a ‘Generalist’ Public Health Specialist, Andrew worked at a senior level within local government in Wales. Health Board (LHB) when the new LHB came into being. In January 2011, David was appointed to the role of Director General, Health and Social Services/Chief Executive, NHS Wales. He took up his post on 31st May 2011.

6 THE WELSH PUBLIC HEALTH CONFERENCE THE WELSH PUBLIC HEALTH CONFERENCE 7 Exhibitors

Action on Hearing Loss Cymru Groundwork Wales Action on Hearing Loss Cymru is the new name for RNID Cymru. The charity supports around 480,000 people who are deaf or have a hearing loss in Wales. We’re committed to helping Groundwork Wales is a charity which helps people and organisations make changes in order to create people with hearing loss in Wales tackle feelings of isolation or discrimination and support them better neighbourhoods, to build skills and job prospects, and to live and work in a greener way. to feel empowered and live independently. It is part of Groundwork in Wales, a leading local, regional and national environmental We take action to prevent people from losing their hearing by warning them of the dangers of regeneration network building sustainable communities across Wales. listening to music at dangerous levels and of damaging their hearing through exposure to other loud noise. We also help people adapt to using their hearing aids and advice on local services to support them. Local Government Data Unit for Wales

Age Cymru The Data Unit is part of the local government family in Wales. Our work includes a strong focus on supporting local government and its partners to access and use information and intelligence Age Cymru is the new force combining Age Concern Cymru and Help the Aged in Wales. We effectively to deliver and improve services. The current challenging financial climate increases believe that age demands respect. It deserves kindness. Sometimes it needs help. Age Cymru will further the need for robust and timely data to support decision making and determine priorities. ensure older people’s voices are heard, challenge and change attitudes, fight discrimination wherever we find it and tackle elder abuse in all its forms. Age Cymru will also celebrate the For further information e-mail: [email protected] or telephone: 029 2090 9500. wisdom, the calm and the confidence that older age can bring. For more information please contact Age UK Advice: 0800 169 65 65 Email: [email protected] Mencap Cymru

Mencap Cymru's Helpline and Information Service provides support and information on issues that affect people with a learning disability, their families and carers across Wales, such as employment, benefits, housing, campaigns, and education.

The service is made up of: BTCV Cymru • a telephone or email helpline • Regional Advisers BTCV Cymru's mission is to “Invest in Sustainable Futures” through: • a Welfare Benefits Adviser • Improving local and natural environments • the Mencap website. • Enabling more environmentally active citizens The Wales Learning Disability Helpline number is 0808 808 1111 and you can call us from 10am • Improving health and wellbeing to 6pm from Monday to Friday, and from 10am to 4pm on weekends and bank holidays. • Helping people towards better skills/employment, particularly in the low carbon economy

CISHE

Cardiff Institute of Society and Health: (CISHE) undertakes methodologically innovative NLIAH multidisciplinary research with a focus on: understanding and theorising the determinants of The National Leadership and Innovation Agency for Healthcare (NLIAH) is part of NHS Wales and population health and well-being; sustainable and equitable improvements in the health and well works with Local Health Boards and Trusts to deliver better quality and safer patient services. As being of communities; rigorous evaluation of effectiveness. an innovation organisation, NLIAH supports NHS Wales in working towards the provision of a CISHE aims to lead and facilitate research of international excellence, placing emphasis on tackling world class health service. NLIAH has set up strong UK and international links and places a strong health inequalities and ensuring that our research has an impact on policy and practice in Wales emphasis on collaborative working and shared learning. and beyond. It is currently home to the UKCRC funded Public Health Research Centre of Excellence Working with Welsh Government, NHS Wales and Education providers, the Workforce DECIPHer (the Centre for the Development and Evaluation of Complex Interventions for Public Development Team aims to create and support the development of a workforce with the skills to Health Improvement) and PHIRN (the Public Health Improvement Research Network) and WHIASU meet the demands of a rapidly changing healthcare service. For further information please see ( the Welsh Health Impact Assessment Support Unit) both funded by Welsh Government. www.nliah.wales.nhs.uk

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The following posters are being presented on the ground floor: Open University

1. The Wales Electronic Cohort for Children (WECC) study: improving children’s health using routinely collected data The Open University in Wales in Wales' is the largest provider of part-time, undergraduate higher education with over 10,000 students. The OU is a major provider of part-development routes Joanne C Demmler, Centre for Health Information Research and Evaluation, Swansea University across the Welsh NHS with almost a thousand students studying a range of programmes each College of Medicine year, from all LHBs, in areas ranging from public health to pathology and informatics to dietetics. The Open University remains the top university in Wales for student satisfaction, according to the 2. The role of school nurses in increasing teenage immunisation National Student Survey (NSS) results released in August 2011 - for the seventh year in succession. uptake in Gwent The results show that 92% of OU in Wales students declare themselves to be ‘satisfied with quality of their course’, with The OU being the only HEI in Wales to score above 90%. Angela Phillips, Public Health Nursing Team Manager, Aneurin Bevan Health Board

3. Preventing substance misuse: randomized controlled trial of the Strengthening Families 10-14 Programme (SFP) Shelter Cymru Dr J Segrott, Cardiff Institute for Society and Health, Cardiff University

Shelter Cymru is Wales's people and homes charity. We help people with housing problems by 4. Use of routine data to support effective systems of governance providing free, independent, specialist advice. Last year we helped more than 15,000 people, to ensure equitable service provision preventing homelessness in 89 per cent of relevant cases. We believe that everyone has the right to a decent, secure home and we are campaigning for more homes that people can afford, Dr Karen Gully, Senior Medical Officer, Department for Health, Social Services and Children, greater support for anyone with housing problems or facing homelessness and for empty Welsh Government properties to be brought back into use. 5. Health assets lower obesity

Peter Mannion, Public Health Services Manager, Primary Care and Planning, Sustrans Wales Abertawe Bro Morgannwg University Health Board

6. Community resilience and wellbeing in Wales: Sustrans is the UK's leading sustainable transport charity. Our vision is a world in which people a secondary analysis of the 2007 and 2009 citizenship survey choose to travel in ways that benefit their health and the environment. Every day we are working on practical, innovative ways of dealing with the transport challenges that affect us all. Dr Wouter Poortinga, Welsh School of Architecture, Cardiff University

7. Scoping health literacy for Wales

Sarah Puntoni, Healthcare Improvement Lead Officer, Public Health Wales

8. Community food co-op programme

Alison Black, Health Improvement Division, Department for Health, Social Services and Children, Welsh Government

9. The Child Measurement Programme in Wales

Rosalind Causey, Programme Manager, Welsh Child Measurement Programme, Public Health Wales

10. Measuring inequalities in life expectancy, healthy life expectancy and disability-free life expectancy within areas of Wales

Andrea Gartner, Advanced Public Health Intelligence Analyst, Public Health Wales Observatory

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11. Supporting the setting and monitoring of child poverty indicators 21. A NICE-commissioned pilot of patient reported outcomes measures (PROMs) for ablation of cardiac arrhythmias Nathan Lester, Head of Analytical Team, Public Health Wales Observatory Kathleen Withers, Cedar, Cardiff Medicentre, Cardiff and Vale University Health Board. 12. Interventions to reduce unplanned hospital admissions: a systematic review – specialist clincs 22. Innovative practice in Torfaen Flying Start provides a healthy start for every child in areas of disadvantage Rebecca Thomas, Research Associate, Department of Primary Care and Public Health, Cardiff University Lorraine Childs, Flying Start Health Programme Manager, Integrated Children’s Centre, Cwmbran

13. Factors associated with smoking cessation in male manual workers: 23. What can health professionals tell us about opportunities to improve a qualitative study the uptake of MMR vaccination within their communities?

Samantha Parker, Neuroscience Bsc Hons, Brighton and Sussex Medical School Marie Grannell, Health Promotion Officer, Powys Public Health Team, Public Health Wales

14. Are there modifiable factors in the early years which can help 24. Nursery schools and immunisation reduce inequalities? Nicola Meredith, Specialist Nurse for Immunisation, Vaccine Preventable Disease Programme, Public Dr Kerry Bailey, Consultant in Public Health, Public Health Wales Health Wales

15. Rural Health Innovation in Wales 25. Impact of migration on nutrition and ageing: experiences of Bangladeshi women living in Cardiff Stephanie Best, POWIS PhD student, Rural Health in Wales Professor Joy Merrell, College of Human and Health Sciences, Swansea University 16. Bringing cancer support and chemotherapy to communities in south Wales: the Tenovus Mobile Cancer Unit 26. Designed to smile – a health promotion initiative to tackle child oral health inequalities Dr Rachel Iredale, Institute of Medical Genetics, Cardiff University Maria Morgan, Lecturer in Dental Public Health, Cardiff University School of Dentistry 17. Sharing good practice for increase the uptake rate of seasonal influenza vaccination across Gwent 27. Neighbourhood partnership – tackling substance misuse in Swansea

Dr Diane Kirkland, Monmouthshire Public Health Team, Public Health Wales Dr Nina Williams, consultant in public health, Public Health Wales

18. Sing for life – the benefits of a community choir for people 28. Data mining methods and epidemiological models in examining the affected by cancer childhood health, maternal health, socioeconomic determinants of educational achievement: an analytical perspective Ian Lewis, Tenovous Cancer Charity Shang-Ming Zhou, Centre for Health Information Research and Evaluation, Institute of Life 19. Emerging geographical variations of non fatal poisoning emergencies Sciences, College of Medicine, Swansea University (NFPs) in Wales: a retrospective study optimised with data linkage 29. Developing health literacy in patient education programme Leila Pinder, Research Assistant, Health Information Research Unit, Centre for Health Information Research and Evaluation (CHIRAL) Dr Michelle Edwards, Department of Primary Care and Public Health, Cardiff University

20. Community screening for Tuberculosis in a high-risk, hard to reach 30. National exercise referral scheme population in south Wales Jeannie Wyatt-Williams, National Exercise Referral Coordinator, Welsh Local Government Dr Rhianwen Stiff, Specialty Registrar in Public Health, Public Health Wales Association

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