Mike Brannan
brannanm.bsky.social
Mike Brannan
@brannanm.bsky.social
Public Health Consultant, Barking and Dagenham Council.

Tweeting in personal capacity on public health issues.
Reposted by Mike Brannan
Interested in smoking and vaping? I will be giving a UCL Lunch Hour Lecture covering lots of our recent research findings in this area.

The lecture will take place online on 29 May, 1-2pm. It’s free and all are welcome to attend. You can register here: www.ucl.ac.uk/events/event...
Lunch Hour Lecture | Recent trends in smoking and vaping in England
The talk will include an overview of changes in the prevalence and patterns of smoking and vaping...
www.ucl.ac.uk
May 6, 2025 at 8:14 AM
Reposted by Mike Brannan
Since the pandemic, wellbeing in adolescents has been declining, and educational inequalities widening. So what's the solution?

Join us on 18 June for a free webinar discussing how we can stop educational inequalities widening. 👇

www.rsph.org.uk/event/school...
School is more than a place to learn
A webinar supporting the development of a new WHO/UNICEF regional strategy for Child and Adolescent Health in Europe and Central Asia, as part of our Public Health in Practice Special Issue
www.rsph.org.uk
May 6, 2025 at 8:16 AM
Exciting opportunity as Health Inequalities Programme Manager for Barking & Dagenham Place HI prog (until Dec 2026)

Coproduced across LA,NHS & VCSFE, programme incl 10 workstreams developing & testing new approaches

Closes 14/5

Please share!
www.lbbd.gov.uk/council-jobs...
| London Borough of Barking and Dagenham
www.lbbd.gov.uk
May 1, 2025 at 4:26 PM
Toolkit on scaling for impact volunteer-led organisation coproduce with 5 VCS organisations

Scale Vs growth

Two phases (Design, Systematise & Pilot)

Six mindsets required for sustainable scaling

bit.ly/44AwWqM
April 25, 2025 at 10:41 AM
New Active Lives adults data:

Continued ⬇️physical inactivity (still 1 in 4 tho)

Persistent inequalities

No short term, but long term ⬆️economic inequalities in activity by individual & place

Activity lowest for those w 2+ inequalities

⬇️cycling

Pre-C19 levels of team sport
April 25, 2025 at 10:39 AM
Learning from 'Marmot places' approaches to ⬇️health inequalities @marmotihe.bsky.social @local.gov.uk

6 case studies from 50 places using local frameworks based on Marmot indicators

Can't do 1 or 2, do the 8;“Do the eight! We very consciously did not order them in priority.”

tinyurl.com/4dp4yy6z
February 7, 2025 at 8:17 PM
Thread explores 5% uplift in Public Health Grant still leaves in 25% lower than 15/16

Decline greatest in deprived areas.

Intervention cost per additional year of good health:
£3.8k Public Health
£13.5k NHS

Will limit progress on health inequalities & Prevention
February 7, 2025 at 7:51 PM
Great thread welcoming 25/26 Public health Grant uplift, but leaves PHG 25% lower than 15/16

Decline greatest in deprived areas

PH intervnetions =£3.8k/additionla year of food health V £13.5k in for NHS

Limits progress on health inequalities & prevention
The details of the 2025/26 PH grant allocations are now available, including the £200m uplift announced first thing this morning.

However, the grant value is still 26% lower per person in real terms than 2015/16.

Short 🧵 on why today's uplift is important and why it needs to be just the start. 1/
February 7, 2025 at 7:47 PM
McDonalds using f£ & legal means to stop LAs preventing new takeaways to protect residents

Evidence is clear that limiting density:
Supported by public (<1 in 10 opposed)
⬇️obesity
Save money 4 services
zenodo.org/records/1373...

Toolkit for LAs: zenodo.org/records/1334...
t.co/kyNyI9Ir8o
February 7, 2025 at 5:13 PM
Great blog on how Prevention will never be funded without restructuring NHS funding (& significant funding & service reductions in acute system)

It doesn't mention it is 11 years since NHS 5 Year Forward View said "Getting serious about prevention"!!

Not everyone can/will be happy
t.co/4J5CddQbsf
February 7, 2025 at 4:42 PM
Housing tenure & associated costs is increasingly leading to divergence in many outcomes for home owners & renters

Private renters pay 3x £/sq m than owners

This work suggests at least half housing affordability gap based on ethnicity relates to tenure
www.resolutionfoundation.org/publications...
February 7, 2025 at 4:41 PM
Interesting findings in annual survey of Londoners:
-Differences between home renters & owners
-Lower job satisfaction in those with lower health satisfaction
-Majority favour speed limits
-2 in 3 satisfied with local area
-Satisfaction in GP services
www.londoncouncils.gov.uk/news-and-pre...
February 4, 2025 at 12:55 PM
Faith groups are critical public health partners

Report on social prescribing suggests roles at Neighbourhood, Place & System levels

Practical 'How to' guides' for SP Link workers & faith groups
www.churchworks.org.uk/our-work/wel...
February 3, 2025 at 11:41 AM
Regional & local breakdowns of annual social value of sport & physical activity

Constituents values:
'primary'-wellbeing participating & volunteering
'Secondary'- wider savings to health and social care system

For B&D it is £246k (£220k & £29k respectively)
www.sportengland.org/news-and-ins...
January 31, 2025 at 3:08 PM
Expert panel recommendation of new definition & diagnostic criteria for obesity based on clinical illness of pre-clinical or clinical obesity

Suggest focussing therapeutic interventions on clinical obesity

Aligns with NICE proposal for roll out of new weight loss drugs.
January 15, 2025 at 9:56 AM
Reposted by Mike Brannan
We're delighted to announce that @sallywarren.bsky.social will be joining our next #PublicHealthSpaces to discuss the 10-Year Health Plan!

@profkevinfenton.bsky.social, Prof Zafar Iqbal, Dr Amanjit Jhund & Rachel Johns will share their expert views.

Register today ➡️ www.fph.org.uk/events-cours...
January 13, 2025 at 4:06 PM
CMO report on health in cities

Considers characteristics & implications for health

Key challenges:
Health effects of housing
Food env
Vaccination & screening rates
STIs
Access to physical activity
Air pollution

Case studies incl London

Incl analysis of specific issues

www.gov.uk/government/p...
January 13, 2025 at 11:30 AM
Hackney SPD for child-friendly spaces

“Children are a kind of indicator species. If we can build a successful city for children, we will have a successful city for all people.”

8 designs principles

Incl activity/play on doorstep, not just playgrounds

hackney.gov.uk/child-friend...
January 13, 2025 at 11:06 AM
Report on housing impacts on health from @marmotihe.bsky.social

UK crisis:
1 in 7 CYP in temp accommodation
Costs £18.5bn/yr (educational achievement, productivity, H&SC), incl £1.4bn to NHS

Need cross-sector approach focusing on:
Quality
Supply
Affordability
Environment

Reccs across 8 areas
January 9, 2025 at 10:39 AM
Considering 'missingness' rather than DNA for appointments could improve efficiency & outcomes

Study of 824k patient records
High # missed GP appointments➡️high outpatient & inpatient hospital care but not emergency care signalling high treatment burden
pmc.ncbi.nlm.nih.gov/articles/PMC...
January 7, 2025 at 10:14 AM
Paper considers creation of national Gov Preventative Department Expenditure Limits (PDEL) mechanisms to identify, account & track spend on prevention

Consider prevention in 3 areas that have seen up to 78% cut:
Health
Homelessness
Children's Social care

demos.co.uk/research/cou...
January 6, 2025 at 4:00 PM
DHSC-funded analysis of smoking impact on life expectancy (LE):
1 cig➡️20 mins⬇️ LE
Pack of 20 cigs ➡️7 hours⬇️ LE

⬆️LE of 10-a-day smoker after quitting:
Week ➡️1 day ⬆️LE
Month ➡️1 week
8 months ➡️1 month
Year➡️50 days

Smoking reduces midlife healthy years

onlinelibrary.wiley.com/doi/10.1111/...
The price of a cigarette: 20 minutes of life?
Click on the article title to read more.
onlinelibrary.wiley.com
January 6, 2025 at 3:44 PM
Inspiring @fphuk.bsky.social @rcgp.bsky.social webinar tody on realising potential of GPs on reducing health inequalities

Emerging models:
RCGP GPwER Pop Health & Health Inequals
DeepEnd GP pioneers
Fair Health GP trailblazers

CSFs:
Dedicated time
Dev support
Local PH link
Coproduction
VCSFE link
December 19, 2024 at 2:55 PM
A potential 'natural experiment' on alcohol policy (eg Minimum Unit Pricing) as alcohol deaths fall in Scotland & rise in England.

Alcohol deaths in NE England now higher than Scotland

People have maintained increased consumption during COVID

Particular issue in those 55-74yo
December 16, 2024 at 11:08 AM
esearch into lack of use of science in policy making

80% said policy makers lack understanding of science
73% said researchers lack understanding of how policy work

“It’s a constant tension between the scientifically illiterate & politically clueless”

www.nature.com/articles/d41...
December 6, 2024 at 10:19 AM