Keynote presentation on the role of social prescribing, for better and worse in local public health service delivery 171117 middletonj salford vr 3 full

1. Improving the public’s health:
Social prescribing, social movements, shaping
attitudes and behaviours
Professor John Middleton
President of Faculty of Public Health

2. Who we are and what we do
• The United Kingdom Faculty of Public Health is a faculty of the three
Royal Colleges of Physicians of London, Edinburgh and Glasgow
(Physicians and Surgeons)
• FPH is a membership organisation for nearly 4,000 public health
professionals across the UK and around the world
• We also have a growing number of student, associate and international
members in more than 80 different countries
To improve and protect the public’s health: through
standards, advocacy, training and knowledge
www.fph.org.uk

3. https://www.youtube.com/watch?v=4Wj7xZf8xm8
Dirty old town – Ewan MacColl

4. http://socialadventures.org.uk
Garden needs Salford
http://gardenneeds.or
g.uk

5. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

6. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
‘How continued investment in leisure
centres, social housing and market
gardens help educate people about
lifestyles’

7. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing, sometimes referred to as community
referral, is a means of enabling GPs, nurses and other
primary care professionals to refer people to a range of
local, non-clinical services.
Recognising that people’s health is determined primarily
by a range of social, economic and environmental
factors, social prescribing seeks to address people’s
needs in a holistic way. It also aims to support
individuals to take greater control of their own health.
Kings Fund 2017.

8. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

9. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

10. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

11. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

12. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing
Role with children?
Play?
Parenting?
Children’s mental health development?
Weight management?
Daily Mile?

13. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing in Sandwell-
a 25 year history

14. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing
More appropriate care

15. Sandwell welfare
rights services

16. 16

17. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing
Complementary care

18. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

19. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

20. Housing and health
Repairs on prescription
Affordable warmth

21. 21
Birmingham
Sandwell /
Urban Living
Smart
housing
manifesto
2004

22. A box plot of the
Baseline SAP
measures for the
Sandwell MBC
housing stock,
1st April 2001, by
housing type,
n=25,595 dwellings

23. A box plot of the
Baseline SAP
measures for the
Sandwell MBC
housing stock,
31st March 2011,
by housing type,
n=25,595
dwellings

24. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

25. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

26. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

27. Asset based public health
Community assets

29. New leisure
centres Tipton

30. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

31. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing : shaping
attitudes and behaviours?
People as ‘assets for health
improvement for themselves and
their communities’ not ‘problems
to be treated’

32. 32
Sandwell Youth Cabinet

33. Agewell-Sandwell

35. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing : shaping attitudes and
behaviours?
People given skills by their involvement:
 CPR training certificates?
 Practical knowledge to share with their
communities?
 Better references for jobs?
 Training qualifications?

36. Asset based
community
development
:Salop drive
Community
agriculture
project,
Sandwell

38. 38

40. Asset based
community
development
: Cycling in
Sandwell

41. 41
Sandwel
l Time
Bank

42. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing : shaping
attitudes and behaviours?
People entitled to gain from ‘the health
dividend’
Corporate citizenship in commissioning and
providing health and care
Local economic impact assessment

43. ‘The Health Dividend ’

44. The 2017 Milroy Lecture: Secure, healthy, inclusive and green – four dividends of a healthier future Professor John Middleton

46. Options for
life ife self
built
community
centre

47. • The new Midland Metropolitan hospital
• Opening 2018 – corporate citizenship offers of construction employment, low
carbon footprint, local health service employment, key worker housing and
relocation of services to community

48. ‘Saving lives with Solar’ Royal
North Midlands Hospitals, Stoke.

49. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th
Social prescribing : shaping
attitudes and behaviours?
Recognise the major external
environmental and economic
influences on health

51. Lessons in the age of austerity and
globalisation

54. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

55. Improving the public’s health:
Social prescribing, social movements, shaping attitudes and
behaviours University of Salford John Middleton November 17th

56. Globally, mortality rates have decreased across all age groups over
the past five decades, with the largest improvements occurring
among children younger than 5 years. However, at the national
level, considerable heterogeneity remains in terms of both level
and rate of changes in age-specific mortality; increases in mortality
for certain age groups occurred in some locations.
Countries have saved more lives over the past decade, especially
among children under age 5, but persistent health problems, such
as obesity, conflict, and mental illness, comprise a “triad of
troubles,” and prevent people from living long, healthy lives.
Total deaths in children younger than 5 years decreased from 1970
to 2016, and slower decreases occurred at ages 5–24 years. By
contrast, numbers of adult deaths increased in each 5-year age
bracket above the age of 25 years.
Global burden of disease study, 2017
John Middleton The value of the public health practitioner
workforce November 15th 2017

58. These 10 Corporations Control Almost Everything We Eat

59. http://www.bmj.com/content/358/bmj.j4443?
sso=

60. http://www.bmj.com/content
/357/bmj.j2676
Inequalities in health cost
£65bn (€74bn; $83bn) in lost
productivity and taxes and
increased benefits payments
plus
£5.5bn for direct NHS
treatment in 2010.5

62. Thank you
JOHN MIDDLETON
president@fph.org.uk