Global Health The role of Public Health Wales Sue Mably Sally Venn October 2009
Outline • • • Definition Strategic context UK and Wales What do public health people do now? An example – Wales for Africa Health Links Network What could PHW do? Conclusions Source: Tribal Newchurch
What do we mean? “Global health is about the worldwide improvement of health, reduction of disparities and protection against global threats that disregard national borders” Polio vaccination in Afghanistan
Strategic context 1 Health is Global: UK Government strategy 2008 – 2013 “This strategy is one way for Britain to help to build a better, fairer world. ” Gordon Brown, 2008
Strategic Context 2 Global health partnerships: the UK contribution to health in developing countries (Crisp Report, 2008)
Strategic context 3 Wales for Africa A Framework for Welsh Assembly Government Action on International Sustainable Development 2006
Strategic Context 4 You are invited to respond to the consultation document: ‘NHS Guidance Framework for UK Health Sector Involvement in International Development’ by 23 rd October 2009
What does PHW already do? “The NHS has a global presence and I am sure that we have a strong story to tell about how Welsh NHS institutions contribute to this and represent the very best of Welsh service innovation and delivery”. Paul Williams, Chief Exec NHS Wales, January 2009. EUROPE Euro. Health Net ♥ Pro. Men. Pol ♥project evaluation committee of In. VS (France) ♥ Health Enhancing Physical Activity network (HEPA) ♥ European Platform for Diet, Physical Activity and Health ♥ EPIET programme♥ Epibathe ♥ Zoonoses surveillance ♥ EU Committee of the Regions ♥ Regions for Health initiative ♥ WHO Healthy Cities ♥ WHO Collaborating Centre ‘Tipping the Balance towards Primary Care’ ♥ NPHS link with Ecole des Hautes Etudes en Santé Publique, Rennes, France. ♥ Children Environmental Health Action Plan for Europe (CEHAPE) ♥ ASPHER (Association of Schools of Public Health in European Region) ♥ ISARE ♥ INTEGRIS ♥ Euro. Safe ♥ EUROCARE ♥ RARECARE and HAEMCARE ♥ EUROCIM AFRICA Wales for Africa Health Links group ♥ Tropical Health and Education Trust (THET) ♥ Individuals support Dolen Cymru; Brecon/Molo link (Powys LHB); Hosanna/Glan Clwyd link (North Wales NHS Trust); Gwent/Southern Ethiopia link (Gwent Healthcare NHS Trust); PONT/Mbale link (RCT LHB and Cwm Taf NHS Trust); ABM University Trust child health training programmes; Swansea/Gambia link (ABM University Trust). ♥ cervical cytology training in the Gambia ♥ Breast Test Wales radiographer visited Lesotho ♥ laboratories in Johannesburg re LBC ♥ Sudan training group OTHER SHA International Links Network (DH) ♥ experts to WHO e. g. in epidemiology and TB microbiology and part of the WHO GOARN (Global Alert and Response Network) ♥ Member of the Global Burden of Diseases Injuries and Risk Factors – Injury Expert Group ♥ Member - International Collaborative Effort on Injury Statistics ♥ 1000 Lives Campaign and the Institute for Healthcare Improvement (US and Denmark) ♥ CONCORD ♥ Transatlantic prostate group ♥ CSW support for start up of a screening programme in Lithuania ♥ Early Hearing Detection and Intervention (EHDI) and International Working Group on Childhood Hearing (IGCH)
Wales for Africa Focus • Sub-Saharan Africa Commitment by WAG • MDG delivery • Response to disasters and emergencies overseas Key statements • Placements and twinning • International volunteering • Disaster preparedness Context • Mutuality – benefits to overseas partners and citizens of Wales “This is about the Wales of the future: a confident Wales of good global citizens. …. . above all, I thank all the volunteers and professionals—the doers—who have really got involved. They have made Wales for Africa the best value-formoney programme that you can think of when considering all that the Assembly has done in the past 10 years”. Rhodri Morgan, April 2009
Global Health Links ‘Health link is the name given to formal international health partnerships between a UK health institution and a counterpart organisation overseas. Such partnerships provide opportunities for health institutions to share ideas, experiences and skills which benefit both partners Rhodri Morgan and the motorbike ambulance at the Wales for Africa Health Links conference July 09
Health links in Wales 22 established health links: • Dolen country twinning • 7 Trust links • 11 University links • 2 LHB links • Hay on Wye GP link Public health input • Coordinate and support the group • Facilitate close working with THET (Tropical Health and Education Trust) • Support the Global Health Website
Links with Africa : Benefits to the NHS Personal development Learning problem solving Global awarenessunderstanding ethnicity and inequity in the workplace Putting NHS problems in perspective Developing new skills Understanding interface between community and hospital sector Engaging NHS staff with local communities Morally rewarding and powerful tool for motivation of staff Confidence building Adaptability and flexibility in a resource poor environment Source: Dr Biku Ghosh, Gwent Ethiopia NHS Link Developing leadership Learning the value of multidisciplinary team work
Public Health Wales – potential contribution – – – Coordination Strategy development and leading implementation Health Care Improvement Education and training Basic public health skills for non-specialists Public health specialists PHW staff Distance learning Response to emergencies Global Health Impact Assessment Public health advocacy Tackling Health Inequalities Staff at Hosanna Health Centre, Ethiopia
Public Health Wales Global Health Workshop June 2009 Aim: To develop a coherent strategy for the Public Health Wales NHS Trust in relation to the UK Public Health Strategy in particular and global health in general. This will ensure that the new organisation’s responsibilities are both explicit and adequately resourced. Dr Kerry Bailey, St. R Public Health in Swaziland
Workshop report • Recognition of considerable amount of activity that public health staff are already involved in • Recognition that there was pressure and scope for global health activity in Wales to become better coordinated, in order to maximise the impact by fitting with UK, EU and international contexts. • We can all contribute • Wales can gain from this
Key Messages 1. Continue support for the Wales for Africa Health Links Network 2. Improve the coordination of all activities- this could take the form of a formal global health network 3. Ensure a consultant lead for global health.
Next Steps • Discussions with Welsh Assembly Government • Consideration of Global Health in Organisation’s priorities • Future funding for co-ordination? • Tell us what you are doing!
Thank you Resources • Health is Global: UK Government Strategy http: //www. dh. gov. uk/en/Healthcare/International/DH_07 2715#_1 • Wales for Africa WAG http: //new. wales. gov. uk/topics/sustainabledevelopment/i ntdevelopment/walesforafrica/? lang=e • Global Health Partnerships http: //www. dh. gov. uk/en/Publicationsandstatistics/Public ations/Publications. Policy. And. Guidance/DH_083509 • Wales for Africa Health Links Network www. walesforafricahealthlinks. wales. nhs. uk • NHS guidance framework for UK health sector involvement in international development www. tribalgroup. co. uk/consultationinternationaldevelopment
Contact details Sue Mably Sue. Mably@wch. wales. nhs. uk Sally Venn Sally. Venn@nphs. wales. nhs. uk
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