Public health growth

Public Health

The concept of public health has grown in importance and stature since its inception
in the UK. The main aim of public health is prevention of illness and diseases in the entire
population as well as promoting and sustaining health of the citizens. This is facilitated by
recognizing many social factors that contribute to health (WHO, 2015).
This paper aims at investigating the roles of different agencies that work within the
community to reduce the incidence of diseases. This paper will investigate both non-
infectious and non-infectious diseases which are widespread as well as explore the various
strategic approaches and statistical methods applied to evaluate, monitor, and regulate the
incidence of the diseases. The paper will also explore the various effects of illness and
diseases in delivery of health care and social care services. The paper will put into
consideration the current lifestyle in the community that impacts the delivery of quality
health and social care services (Department of Health, 2013).
Roles of different agencies in the UK
Public health refers to science and art of ailment prevention and prolonging of life
using planned efforts to help the society make informed choices. The main role played by
the different agencies is to identify incidences of diseases within various communities. The
different agencies involved in public health include International agencies such as World
Health Organization (WHO) and European Union (EU); National level agencies
(Government and UK Department of Health (DH) and the local authorities and local health
trusts (Social welfare 2013).
The World Health Organization (WHO) has six core functions. To begin with, they
provide strong leadership on critical health issues and engage in partnership especially in
areas that are in need joint action. They are also responsible in research agendas that facilitate
dissemination of knowledge on health issues. The organization also sets norms and standards


that should be used to promote and monitor the effectiveness of specific interventions of
public health issues. The organization facilitates the establishment of evidence based policies
that are ethical. This includes provision of technical support by catalyzing change and
developing sustainable institutional policies. WHO also monitors the health situation and
evaluates the current health trends (Forest & Denis 2014).
The European Union has the responsibility of complementing the national policies. It
does so by helping the EU affiliated governments to achieve the established shared
objectives, pool resources so that they can generate the scale of economies as well as tackle
the shared challenges. The role of this international organization also includes promotion of
healthier lifestyle, and ensuring equitable distribution of resources to tackle the serious health
threats that are predominant among EU member countries (Social welfare 2013).
At the national level, the UK Department of Health (DH) leads the strategy, policy
and outcomes of health improvement. The agency leads by establishing policies that protect
the citizens from a range of health threats. It leads in emergency preparedness, providing
health programs for Olympics and Paralympics et cetera. It helps the health care providers at
the national level to harness the cutting edge in the advancement of medical science to
improve health care. The agency also designs the systems for England public health.
The Department of Health (DH) helps the UK residents to have better and longer life.
The role of the agency is to lead, shape, and provide funds for the healthcare system in the
UK. This ensures that people have adequate support as well as helping to, maintain the
dignity of the citizens. The agency also creates national policies and healthcare legislation. It
also supports the integrity of the healthcare system by ensuring delivery of quality care and
accounting for the funds provided to it by parliament in a way which represents the interests
of the patients. The agency also champions innovation and supports research and technology,
transparency, openness, and honesty. This improves the out-patient care by establishing the
safest and highest quality of healthcare services. Ultimately, the efficiency and productivity
of the healthcare system is improved (Department of Health, 2013).
The local authorities have a convening role and also promote co-existence between
the Local authorities and the GP consortia. The key role of the local authorities is to lead joint
strategic needs assessments (JSNA) to ensure coordinated and coherent strategies. The
agency also supports local voice and promotes patient’s autonomy. The local agency also


leads on local health in order to prevent occurrence of diseases. The agency promotes the
commissioning of the social care and Local NHS services to improve delivery of quality care
(Reiner et al. 2013)
Epidemiology of infectious and non-infectious disease
Epidemiology refers to the study of distribution of infectious and non-infectious diseases,
and the determinants of these health related events within a specified population, and
application of research studies to control the health issue. Epidemiology involves studying of
global patterns, risk factors, and preventive measures that can be applied to improve the
health issue.
Non infectious disease is also referred to as non-communicable disease. This refers to a
health condition that is non transmissible. More often than not,, most of non-communicable
diseases are chronic and progress slowly. Examples include asthma, obesity, malignant
disease. and cancer. Infectious diseases are highly contagious, which implies that they are
transmitted from one person to another. They are often caused by pathogens. Examples of
infectious diseases include HIV/AIDS, tuberculosis, influenza, childhood diseases, MRSA,
influenza, food and water borne diseases (Social welfare 2013).
UK is reported to have the highest level of obesity in the Western Europe. Obesity is a non-
infectious disease and it refers to body mass index (BMI) that is between 25 and above.
According to the Health and Social Care Information Centre, 24.9% of the population is
obese and approximately 61.7% is overweight. The levels have increased in the past three
decades, and it is projected that if intervention measures are not put in place, half of the
population will be obese by 2050. This trend is attributed to the fact that most people have
adopted modern lifestyles which includes unhealthy dietary and physical inactiveness.
Obesity is the biggest health crisis in the UK because it is also associated with other health
complications such as diabetes, cancer, and cardiovascular disorders (National Obesity
Forum n.d).
The most common type of infectious diseases is influenza. The latest epidemiological reports
indicate that influenza has continued to increase considerably. The influenza virus is the
leading cause of respiratory tract infections, which is associated with severe complications
which lead to hospital admission and mortality. The internet based surveillance indicates that


influenza affects 18.4 per cent out of a population of 1000 people. However, 20-44 people
report higher rates of infection which is reported at 23.1 per cent out of a population of 1000
people (Social welfare 2013).
The effectiveness of different approaches as well as strategies of diseases control
There are various approaches being utilized by the Department of health in controlling
obesity and influenza in the UK. Some of these approaches include screening, vaccination,
legislation, education, and creating awareness and surveillances (Social welfare 2013).
The Department of health has established interventions that will help people make
healthier choices by ensuring that they are in a position to make healthy dietary and to
become more active. This includes programs such as Change4life. The department has
established strategies that will help effective labeling of drinks and food which will help
people to make informed choices. The legislation requires the factories to include ingredients
such as calories. The National institute of Health and Care Excellence (NICE) has
established a series of initiatives that aims at reducing obesity. This includes improving the
physical environment and leisure parks to improve the amount of physical activeness among
the population (Public Health England 2014).
The departments at national and community level encourage the use of school based
programs as the main strategy to tackle obesity. For example, the Croydon Healthy Schools
program was established in order to ensure that local schools support healthy food programs
and promote physical activeness. The public health agencies at the national level deal with
four specific networks including food, physical activity, alcohol, and health safety at the
workplace. These initiatives have helped people to adopt healthy lifestyles. In addition,
regular education has helped to reduce discrimination as well as enhance self confidence
among people with obesity (Social welfare 2013).
The Public health of England also conducts surveillances of the Influenza after every
week to monitor the influenza activity at community and national level. Influenza is the
leading cause of hospitalization in the UK. For this reason, the healthcare agencies at the
government level (Department of Health) supported by the local authorities have developed
annual a flu program that seeks to vaccinate individuals at high risk of developing influenza.
The high risk individuals include the older people, infants and toddlers, pregnant women,


immune-suppressed, and those suffering from cardiac diseases. In addition, the program
provides training to help the citizens in detecting signs and symptoms of influenza. The
public health department also requires that any suspected case of avian flu must be reported
to the nearest animal and Plant Health agency. This helps the agencies to effectively control
the infection. A recent case of low severity (H5N1) avian flu was reported in Dunfermline
early this year, but the agencies managed to control the infection by using restricted
movement (Public Health England 2014).
The current priorities and approaches
The priorities for delivery of health services are influenced by evaluating the burden
of a disease. The analysis of the community burden of disease provides comparable
assessment of the cost of health, injuries, risk factors and mortality rates. This is normally
done using the disability-adjusted life year (DALY). DALY that normally evaluates the
number of years lost as a result of premature deaths within a certain time (Social welfare
According to DALY report in the UK, the leading health burden is mental illness,
heart complications, cancers diseases and respirational diseases respectively. In 2010, the
leading causes of DALY were cardiovascular disease, chronic osteoporosis (back pain), as
well as chronic obstructive pulmonary disease (COPD). Most of these disorders are
associated with unhealthy lifestyles such as poor dietary, alcoholism, smoking, and lack of
exercises. Therefore, the current healthcare priorities in the UK include preventive services
for mental health, smoking, diet control, alcoholism as well as promoting physical activeness.
The second priority is to improve the clinical services by providing adequate support for
mental health services, respiratory disorders, and cardiovascular disorders (Public Health
England 2014).
The approaches being used to provide healthcare include primordial prevention. This
involves identification of legislation that aims at delivering quality services. Other
approaches include education and awareness, environmental controls and social welfare. The
second approach is through primary prevention. This primarily focuses on health promotion
interventions such as health education on immunization, chemoprophylaxis, and
serophaylaxis. Environmental modifications will help to protect the community from various


hazards in the environment. The nutritional interventions and behavioral changes will ensure
that people adopt healthy lifestyles (Social welfare 2013).
The other approach is the secondary prevention which mainly focuses on halting the
progression of the disease and prevents complications. The main activities in this stage
include screening tests, laboratory findings, and adequate treatment programs. The fourth
approach is through tertiary prevention. This involves use of all interventions to limit
disabilities and impairments associated with the health event and help promote a patient’s
health condition. This mainly focuses on interventions that prevent disability limitation as
well as rehabilitative services. Rehabilitative services are coordinated through medical,
vocational, educational, and social training measures to help the patient retain their functional
ability to the highest level (Public Health England, 2014).
The approaches being used include monitoring and surveillances. Monitoring is used
to describe the performance and analysis of measurements that are aimed at evaluating the
environmental changes such as water quality and other forms of pollution, dietary intake et
cetera. Monitoring also entails all other forms of measurements of health services and the
extent to which patients adhere to the advice provided by healthcare professionals. On the
other hand, surveillance is the inspection of the determinants of health, and the distribution of
the other health related illnesses (Public Health England, 2014).
Relationship that exists between the prevalence of disease and the service requirements
There are considerably adequate healthcare resources including hospital, community
health services, personal medical services, and community health services. The community
health services providers (HCHS) and dental staffs are about 105,000. There are bout 41 300
healthcare providers who provide consultation services and an additional 53,000 who provide
training services. There is about 971,000 non-medical staff whereby 319,000 are qualified
nurses, 136,000 are technical and therapeutic professionals, 187,000 in infrastructure support,
and 36,000 are managers. In the new health and social care setting, these healthcare
providers consist of clinical commissioning groups (Department of Health, 2013).
The UK health and well-being board brings together organizations to work in
partnership in order to deliver powerful that advocate for the needs of communities and


These healthcare professionals have combined efforts to help people lead healthier
lives. This involves ensuring that people have adequate support, care and treatment as
needed, and in the most compassionate, respectful, and dignified manner. The specialists are
working together to ensure that they provide evidence based care. This is achieved by
bringing in the multidisciplinary teams together in health and social care to manage
healthcare efficiently and effectively. This facilitates timely referrals which are important in
reducing time for making diagnosis. Although there have been massive improvements in
healthcare, the public health of England continues to be burdened by diseases such as obesity
and influenza. This often calls for strategic frameworks and policies (Department of Health,
Impact of current lifestyle choices on the health care future needs
The UK people’s health is determined by their lifestyle choices. This is attributed to
the increased globalization and busy schedules that make it difficult for people to engage in
healthy lifestyle. For instance, obesity is associated with poor dietary and increased physical
inactiveness. The food available in the UK today is just refined ingredients mixed with some
chemicals. These food products are cheap, and taste very good that one cannot have enough.
This makes the food to become hyper-palatable which makes people eat them in high
quantity due to food addiction. Food addiction is a complex issue that can be very difficult to


overcome. This often leads to mental disorders and increases a person’s susceptibility to other
infectious diseases such as influenza (Health Protection Agency 2010).
Obesity is associated with energy imbalance. The main variable factor and one that
can be modified is physical activity. Most people are not active. Physical activity has
continued to decline in developed countries. The pattern is being reflected in developing
countries. Over the past decades, each household in the UK own second hand carts and
appliances that help to cut on labor. Outdoor activities have also reduced considerably;
consequently, one in every four people in the UK is at risk of becoming obese. The impact of
physical inactivity affects the future of the healthcare industry because increases
cardiovascular disease burden through the increased cost of preventive care (Department of
Health 2013).
Most of the health complications are associated with behavioral risk factors. Chief
among the behavioral risk factors includes smoking and binge drinking. It has been
hypothesized that smoking helps in reduction of weight gain. However, these beliefs are
over-simplistic. Both smokers and non-smokers are at risk of becoming obese if they feed on
unhealthy foods and are physically inactive. The impact of tobacco smoking and alcohol
affects the future of the healthcare industry because it increases the cost of preventive care
(Enfield 2013).
Priorities for people in specific health setting
The well-being and health of the populace in this community are highly related to
each other. According to WHO, health has a great influence on the nation’s economic
development. The healthier a community is the more productive it becomes. The healthcare
settings of a community are influenced by many factors such as communication, poverty and
social services. These determinants can be categorized by many physical factors such as the
individual health factors which include hormonal imbalance, genetic disorders, and immune
system. These factors increase people’s risks of cardiovascular and metabolic disorders.
These factors also affect the behavioral, cultural and psychological factors. For instance,
stress is a psychological factor whereas unsafe sexual behavior, abuse of alcohol, and
smoking are behavioral factors that have an impact on an individual’s health. (Public Health
England, 2014).


The environmental factors involve all factors that affect the wellbeing of humans.
These include safe water and a clean environment. Other factors include chemical factors,
biological and physical environment. The socioeconomic factors such as income affect the
well-being of an individual. For instance, in the UK, health disparities are evident between
the high income and low income earners. The high income households get better medication
and education, and are less likely to be affected by infectious and non-infectious diseases
(Social welfare 2013).
Priorities of elderly people’s health should be based according to the health issues
facing the age group, and are projected to face the age group if not addressed adequately.
Infectious diseases such as Influenza affects the elderly people especially those living in low
economic zones. Such diseases are associated with long term effects; hence, they need
immediate and appropriate health solutions such as preventive management. Abuse of the
elderly people is another issue that must be prioritized. The elderly people are abused
physically, emotionally and psychologically. The protection agency must ensure that they are
adequately prepared to help the frail human beings. This is to ensure that they are housed,
fed, and their healthcare is taken care of (Paterson 2014).
Effectiveness of strategies systems and polices
The effectiveness of the policies that are implemented in taking care of the elderly
involves enactment of policies by the various agencies of the public health. There are various
agencies that contribute towards the enhancement of children’s health and are all working to
meet the same goal. The partnerships established by these institutions are designed to
facilitate incorporation of effective healthcare services. These services include involvement
of the PCTs, CCCs and other local authorities. Due to the modifications conducted in the
white paper, these policies and systems have been found to be very effective in delivering
care .However; there are some areas where the ground level implementation has not been
successful. In such instances, there is need to establish more interventions to help implement
the policies more effectively (Stewart, Cutler, & Rosen 2009)
Changes that could be established to improve the healthcare
The changes that are needed in the UK healthcare system are changes that will
influence positive behavior. For example, there are limited opportunities that promote


physical activity. In this context, the public health agencies should respond to the private
sector to ensure that recreational facilities are not interfered with to ensure that there is
enough space for physical activity. This includes maintaining of the cycle routes, sports areas,
children play ground areas and pedestrianisation (Social welfare 2013).
The second priority is to change the local culture and beliefs of physical activity.
Most people in the UK do not value physical activity. The public health agencies must put in
place awareness programs that will help to ensure physical activity is valued by everybody in
the community. The public health is also responsible for community safety. There have been
few worries regarding personal security especially when exercising. The public health must
liaise with the community groups and the police to help restore a safe community (Public
Health England 2014).
The public health community must work in partnership with the groups such as
educational institutions and communities to increase awareness on preventive measures such
as healthy foods, physical activeness, and vaccination programs. The commissions should
improve access to organic food at affordable prices especially among the socially
marginalized people (Public Health England, 2014).
Task 3.4 Evaluation of an activity that have been implemented to promote behavior
Under the Health and Social Care Act 2012, the main agency in charge of improving
the health of the populace is the local authorities. They have a statutory function to improve
public health by providing advice to the clinical commissioning groups. The local authorities
are entrusted to deliver National Child Measurement Program. One of such program is
“cooking from scratch”. This is an initiative established by NHS and Bristol county council.
The scheme targets to teach the low household income on ways to make simple healthy foods
that can be achieved at specific budget. The program also trains the community on
importance of physical activeness and adhering to vaccination programs. The program has
been successful as it trains people from diverse settings including the elderly in community
day care centers, staff working in these centers, youth clubs, and new mothers. This has
helped to reduce the rates of obesity in this county (Public Health England 2014)



  1. Social welfare. 2013. “The state of health care and adult social care in England.
    WHO (2015). An introduction to the World Health Organization.
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