Duncan Selbie’s Friday Message – 17 January 2020

Expensive everybody

Well being and wealth

Proof continues to point out that earnings stays the best determinant of well being consequence, with findings revealed this week from a 10-year research led by College Faculty London, carried out throughout the UK and North America, making the purpose once more that well being and wealth are two sides of the identical coin. The Prime Minister and the Well being and Social Care Secretary have dedicated to handle geographic inequalities by funding, inclusive development and prosperity in each a part of England with a powerful give attention to the economic Midlands and the North the place these inequalities are most evident. The Secretary of State has additionally spoken of the 2020s because the “decade of prevention” and the forthcoming response to the session on the Prevention Inexperienced Paper will replicate these priorities and complement the main dedication inside the NHS Lengthy Time period Plan to deal with inequalities in well being outcomes.

Central to that is profiting from community-based belongings and on Tuesday we revealed a briefing into complete methods approaches to community-centred motion to handle inequalities in well being. You possibly can learn extra about this in our weblog.

HIV within the UK

This week we revealed our 2019 annual report on HIV within the UK, which is predicated on knowledge to the top of December 2018. The report exhibits that after a peak of latest HIV diagnoses in 2014, a fast decline has been noticed from 6,278 new diagnoses to 4,453 in 2018. The drop in HIV transmission has been particularly massive – 71% – amongst homosexual, bisexual and different males who’ve intercourse with males from an estimated 2,800 transmissions in 2012 to 800 in 2018. And the variety of homosexual, bisexual and males who’ve intercourse with males residing undiagnosed with HIV has halved since 2014 from an estimated 7,000 to three,600 in 2018.

In 2018, nevertheless, an estimated 7,500 folks have been residing with HIV and have been unaware of this, and two in 5 of these identified in 2018 have been identified at a late stage. Late stage infections have greater than a ten-fold elevated threat of loss of life within the 12 months following analysis in comparison with those that are identified early and start therapy instantly.

By the wonderful work of native authorities and the NHS, the scale-up of mixture prevention (which incorporates the usage of condoms, HIV testing in a variety of settings, beginning antiretroviral remedy (ART) as quickly as attainable if constructive, and the supply of Pre-exposure Prophylaxis (PrEP) for individuals who are unfavorable) throughout the UK is working. The purpose of eliminating HIV transmission by 2030 relies upon upon sustaining prevention efforts and additional increasing them to achieve all in danger.

Chlamydia screening

In 2017, PHE sought recommendation from nationwide and worldwide consultants on the goals, supply, monitoring and analysis of the Nationwide Chlamydia Screening Programme (NCSP). The evaluation made suggestions to alter the goal of the NCSP to give attention to decreasing hurt from untreated chlamydia and on Wednesday, we started a 6 week session on this inviting organisations and younger folks to share their views. Yow will discover out extra right here.

Native authorities

On Monday, the King’s Fund revealed a considerate unbiased report, commissioned by the Native Authorities Affiliation, that assesses the success of the 2013 reforms to public well being in England and native authorities’s position in main on prevention and public well being. The report takes the general view that the transfer from the NHS to native authorities for a lot of public well being companies has been constructive, as is the chance it has within the medium time period to affect wider native authorities coverage and selections.

We applaud native authority initiatives akin to transport plans which contemplate a set of rules to information future funding to serve extra folks, properties and jobs and develop long run methods to attain a modal shift in the direction of public transport, biking and strolling. An instance of how native authorities can drive enhancements to the general public’s well being is ready out this week in Birmingham Metropolis Council’s bold draft plan laying out its imaginative and prescient for the way forward for transport within the metropolis; it will cut back transport’s damaging affect on the atmosphere and help Birmingham’s dedication to turning into carbon impartial by 2030. This can be a radical change to town and we sit up for working with Birmingham Metropolis Council in seeing this draft plan by to fruition.

Inaugural Temrt award

I’m delighted to share the information that John Forde, PHE nation lead and senior public well being adviser in Ethiopia, has been awarded the inaugural Temrt ጥምረት award by Dr Alastair McPhail, the British Ambassador to Ethiopia and the African Union.

The idea of temrt, an Amharic phrase which means union, was launched by the Ambassador as a part of his imaginative and prescient to advertise collaboration and partnership throughout the completely different UK authorities departments working there and is of singular credit score to John and his excellence as a workforce participant working to frequent, shared aims. Ethiopia is one in every of 4 African nations receiving PHE help by our Worldwide Well being Rules strengthening programme.

PHE Porton

And at last, Jo Churchill MP, Parliamentary Below-Secretary of State for Prevention, Public Well being and Main Care, visited our scientific campus at Porton Down in Wiltshire on Wednesday. Our scientific and medical consultants confirmed the Minister a variety of our analysis and operational work that helps to maintain the nation protected from the specter of infectious illness, together with how we work safely with essentially the most harmful pathogens.

Greatest needs

Duncan

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