John Gallacher - Vision for wales
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Transcript of John Gallacher - Vision for wales
![Page 1: John Gallacher - Vision for wales](https://reader033.fdocuments.us/reader033/viewer/2022042716/55a6740c1a28ab533c8b469e/html5/thumbnails/1.jpg)
A Vision
For Wales
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Wales as a public health laboratory
Science as the testing of
well-formed hypotheses
Public health as the engagement of
the public in their own health
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Why Wales?
• Distribution of inequality
• Defined population
• Devolved government
• Developed infrastructure
– NHS
– Informatics
– Research base
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What are the benefits?
• Health
– Improved public health
– Reduced health inequalities
• Wealth
– Greater productivity
– Reduced health care costs
– Greater inward investment
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Smoking and mortality
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Smoking and mortality
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So, what’s the plan !
1. Do good science
2. Use evidence to inform policy
3. Use policy to engage the public
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Good science
• Need for large-scale data resources to deliver definitive answers
• Need to study basic mechanisms to develop new interventions
• Need to reduce costs to make science more efficient
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The need for large studies: CHD versus SBP in the Prospective Studies
Collaboration (PSC)
Usual SBP (mmHg)
120 140 160 180
1
2
4
8
16
32
64
128
256 Age at risk:
80-89
70-79
60-69
50-59
40-49
500,000 people
Usual SBP (mmHg)
120 140 160 180
1
2
4
8
16
32
64
128
256 Age at risk:
80-89
70-79
60-69
50-59
40-49
50,000 people
Usual SBP (mmHg)
120 140 160 180
1
2
4
8
16
32
64
128
256
Age at risk: 80-89
70-79
60-69
50-59
40-49
5000 people
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Strategic Overview
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Does it work?
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Areas covered
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Recruitment
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Cognitive testing
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Psychological status
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Remote bio-sampling
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What would success look like?
“Better, cheaper and quicker science” “Better targeted and more effective public health”
• Fully integrated use of health related information • Widespread participation in the cohort • Generous biosample donation • Profusion of high quality specialist studies • Improved public engagement with health • Increased inward investment