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Portsmouth | The
Public Health Team | Public Health Registrars | Portsmouth - The People | Portsmouth - Our Health
City Primary Care Trust, St James’ Hospital, Locksway Road,
Milton, Portsmouth, PO4 8LD. Tel: 023 92834595.
Portsmouth City Council,
Civic Offices, Guildhall Square, Portsmouth, Hampshire, PO1 2BG,
023 9282 2251.
Please note: The description
below is of the Primary Care Trust during 2011. By the time new
public health specialty registrars take up post in August, 2012, it
is anticipated that the department will have moved into the local
authority. The territory covered by the training location will,
however, remain the same.
Portsmouth is a vibrant waterfront city.
Portsmouth is a highly urbanised city with 51.5 people per hectare
making it the most densely populated local authority outside
London. Seventy nine percent of people live on Portsea Island.
Portsmouth has all the issues of an inner city including severe
deprivation and associated health problems.
Portsmouth is well-connected with motorways,
A-roads and mainline rail connections to/from the City. We have
domestic and international ferry routes and a major passenger and
freight port. Portsmouth is also home to Portsmouth Historic
Dockyards and naval base.
Portsmouth is co-terminus with
Portsmouth City Council, a unitary authority.
The Public Health Team in Portsmouth is led by
our Director of Public Health Dr Paul Edmondson-Jones. We are
a vibrant team committed to working in partnership to improve and
protect the health of the population. The Director of Public Health
is jointly appointed by
Portsmouth and Portsmouth City
Council and based at the City Council offices. The Public Health
team will be moving to Portsmouth City Council in early 2012 whilst
retaining close working links with the
through the Portsmouth
Clinical Commissioning Group and the SHIP cluster.
The Director of Public
Health is supported by three Consultants in Public Health, a public
health information team which is integrated with the City Council
and a team of public health practitioners, development managers and
support staff who lead on local health priorities such as, sexual
health, obesity, smoking, quality, screening, health protection,
emergency planning and immunisations and vaccinations. We are
also the lead commissioners for children and families and maternity
services. Throughout all our work we balance the three areas of
public health: health protection, health services and health
The Director of Public Health and his team are
also focusing on supporting the establishment of the new Health
& Wellbeing Boards and working on the Joint Strategic Needs
assessment and the Health & Well-being Strategy. This is
particularly pertinent in a City like Portsmouth where there are
marked health inequalities and significant deprivation. We are
also engaging with and supporting the emerging local Clinical
Commissioning Groups and ensuring there is an appropriate Health
Protection capability in place.
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In Portsmouth we are committed to the
development of our staff in general and to the growth of public
health specialists and practitioners. We have a number of
staff undertaking defined specialist training and practitioner
development. In addition to this we have F2 doctors on a
quarterly rotation undertaking a combined Public Health / General
trainees, sexual health medical specialists and work placement
students are also frequently working within our department.
Public Health registrars in Portsmouth are an
integral part of the public health directorate and the wider
organisation. Registrars have led on a variety of projects
which have been key to improving the health of the population and
the organisations core business. Recent examples of such
projects are as follows:
Feedback from past registrars has highlighted
the broad experience they have gained whilst at Portsmouth enabling
them to learn new skills, enhance existing skills, achieve their
competencies and pass their exams, within an exciting, friendly,
supportive and interesting environment.
The Office for National Statistics estimates
that 203,900 people are resident in Portsmouth.
responsibilities for commissioning services for the 213,031 people
who are registered with Portsmouth City
Practices. The difference in
population numbers arises because Portsmouth City
Practices can register patients who
live outside the Portsmouth City Council boundary.
There were 2629 births to Portsmouth women
during 2009/10. Twenty percent of the total resident population are
aged 0-17 years inclusive.
Twelve percent of our population are aged
20-24 years, compared to 7% nationally, with 22,800 students at
University of Portsmouth. Sixty seven percent of Portsmouth’s
population is of working age compared to 62% nationally and 61% in
the South East.
Between 2011 and 2026 the population aged 65+
years will increase by 28% and those aged 75+ years by 35%. In
contrast, the working age population (16–64 years) will decline by
1%, and under 15s will increase by 5%
Nearly 14% of Portsmouth residents are from a
black or minority ethnic community. Some age groups in certain
areas are more ethnically diverse: 14% of pupils aged 5+ years are
from a BME
community and this increases to 36% of pupils from St Thomas, 27%
from St Jude and 25% from Charles Dickens wards.
Further information about Portsmouth can be
found in our Joint Strategic
Portsmouth is ranked highest of 14 local
authorities for its average deprivation score and concentration of
deprivation, within Hampshire and the Isle of Wight,
The four most deprived wards in Portsmouth
(Charles Dickens, Paulsgrove, Nelson and St Thomas) are also
amongst the most deprived fifth in England. We do not know
what the medium and long term impact of the recession will be.
Already, the impact can be seen in the 11% increase in unemployment
claimants between March 2009 and March 2010.
Male life expectancy (77.5 years) is improving
but remains significantly worse than the England rate. At ward
level, there is a 7.7 year gap in life expectancy for males living
in the least deprived ward quintile compared to the most deprived
Female life expectancy (82.3 years) is now not
significantly different from the England average. At ward
level, there is a 4.4 year gap in life expectancy for females
living in the least deprived ward quintile compared to the most
deprived ward quintile.
In 2007/09, Portsmouth’s all age all cause
mortality rate for males was 723 per 100,000 males of all ages and
for women was 484 per 100,000 females of all ages. The male rate
was statistically significantly higher than the England and
In 2008/10, ischaemic heart disease continues
to be the leading cause of death for Portsmouth residents (658
deaths, 14% of all deaths). Cerebrovascular disease continues to be
the second highest cause (475 deaths, 10% of deaths).
For men; Ischaemic heart
disease is the leading cause of death (389 deaths, 16% of all male
deaths), the second highest cause is cancer of the trachea,
bronchus or lung (204 deaths, 9% of all male deaths). Prostate
cancer was the main cause of 89 deaths (4% of all male deaths).
women; Cerebrovascular disease is the most frequent
cause of death (290 deaths, 12% of all female deaths). [In 2007/09
ischaemic heart disease had been the most frequent cause of death
(328 deaths, 13% of all female deaths)]. The second most frequent
cause is ischaemic heart disease (269 deaths, 11% of all female
deaths). Breast cancer was the main cause of 116 deaths, (4% of
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