Duncan Selbie (born 1962/3) [1] is a British government official who is a senior advisor to the Department of Health and Social Care on global and public health. [2] He served as Chief Executive of Public Health England from its foundation in 2013 [3] until he was removed in August 2020 [4] by the Govt which in 2021 formed it into the UK Health Security Agency. [2] Since December 2020, he has been president of the International Association of National Public Health Institutes. [5]
Previously, from 2007 to 2012 he was Chief Executive of Brighton and Sussex University Hospitals NHS Trust, and earlier South West London and St George's Mental Health NHS Trust. [6] He joined the NHS in 1980, as a teenager. [1]
On appointment to his PHE role, Selbie said he did not claim to have deep public health experience, but did have wide experience within the NHS. [7]
He is an advocate of local government's role in improving the public's health, saying that local experts are best placed to identify where their most vulnerable people are. [2]
He is also reported to believe that health policy should not be viewed in a silo because economic, educational, and social factors are key to improving health inequalities. [2] He said "Good health is about having a good place to live, with a decent home, a job and friends". [8] He regards health as being “inextricably linked to work” and is reported to have said “People in work generally have better health”. [9]
As part of a drive to make hospitals healthier, Selbie has called for a 'tobacco-free' NHS, with a blanket ban on smoking on their grounds. [10]
Public Health England recommended a range of measures to solve the problem of childhood obesity. In March 2016 when former Chancellor George Osborne announced a tax on sugary drinks Selbie said “A sugary drinks levy is fabulous news for children and families in helping them to cut back on sugar. This will reduce the risks of obesity, tooth decay and other life-threatening diseases.” [11]
In December 2013 the Health Service Journal rated Selbie as the 33rd most powerful person in the English NHS. [12]
As of 2015, Selbie was paid a salary of between £185,000 and £189,999 by the department, making him one of the 328 most highly paid people in the British public sector at that time. [13]
A soft drink is any water-based flavored drink, usually but not necessarily carbonated, and typically including added sweetener. Flavors used can be natural or artificial. The sweetener may be a sugar, high-fructose corn syrup, fruit juice, a sugar substitute, or some combination of these. Soft drinks may also contain caffeine, colorings, preservatives and other ingredients.
David William Bennett is a consultant, public policy analyst, and the former Chief Executive of Monitor, the regulator of the National Health Service (NHS) in England. He was appointed Chief Executive and Chair in February 2011. He had been Monitor's Interim Chief Executive since March 2010.
A fat tax is a tax or surcharge that is placed upon fattening food, beverages or on overweight individuals. It is considered an example of Pigovian taxation. A fat tax aims to discourage unhealthy diets and offset the economic costs of obesity.
Hilary Camilla Cavendish, Baroness Cavendish of Little Venice is a British journalist, contributing editor and columnist at The Financial Times, senior fellow at Harvard University and former director of policy for Prime Minister David Cameron. Cavendish became a Conservative Member of the House of Lords in Cameron's resignation honours, but resigned the party whip in December 2016 to sit as a non-affiliated peer.
A public health intervention is any effort or policy that attempts to improve mental and physical health on a population level. Public health interventions may be run by a variety of organizations, including governmental health departments and non-governmental organizations (NGOs). Common types of interventions include screening programs, vaccination, food and water supplementation, and health promotion. Common issues that are the subject of public health interventions include obesity, drug, tobacco, and alcohol use, and the spread of infectious disease, e.g. HIV.
Sir Andrew Dillon, is a British executive, who was chief executive of the National Institute for Health and Care Excellence (NICE) from 1999 to 2020. His earlier career was spent as an administrator and manager in the National Health Service (NHS).
Obesity in the United Kingdom is a significant contemporary health concern, with authorities stating that it is one of the leading preventable causes of death. In February 2016, former Health Secretary Jeremy Hunt described rising rates of childhood obesity as a "national emergency". The National Childhood Measurement Programme, which measures obesity prevalence among school-age pupils in reception class and year 6, found obesity levels rocketed in both years groups by more than 4 percentage points between 2019–20 and 2020–21, the highest rise since the programme began. Among reception-aged children, those aged four and five, the rates of obesity rose from 9.9% in 2019–20 to 14.4% in 2020–21. By the time they are aged 10 or 11, more than a quarter are obese. In just 12 months, the rate is up from 21% in 2019–20 to 25.5% in 2020–21.
Change4Life is a public health programme in England which began in January 2009, run by Public Health England. It was the country's first national social marketing campaign to tackle the causes of obesity.
A sugary drink tax, soda tax, or sweetened beverage tax (SBT) is a tax or surcharge designed to reduce consumption of sweetened beverages. Drinks covered under a soda tax often include carbonated soft drinks, sports drinks and energy drinks. This policy intervention is an effort to decrease obesity and the health impacts related to being overweight. The tax is a matter of public debate in many countries and beverage producers like Coca-Cola often oppose it. Advocates such as national medical associations and the World Health Organization promote the tax as an example of Pigovian taxation, aimed to discourage unhealthy diets and offset the growing economic costs of obesity.
Jane Elizabeth Ellison is a former British Conservative Party politician and UN Civil servant. She was first elected at the 2010 general election as the Member of Parliament for Battersea. On 7 May 2015, she was re-elected with an increased margin of 3.4%. She lost the seat to Marsha de Cordova of the Labour Party at the 2017 snap general election. In November 2017 she joined the senior leadership team of the World Health Organization serving until November 2022.
Public Health England (PHE) was an executive agency of the Department of Health and Social Care in England which began operating on 1 April 2013 to protect and improve health and wellbeing and reduce health inequalities. Its formation came as a result of the reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act 2012. It took on the role of the Health Protection Agency, the National Treatment Agency for Substance Misuse and a number of other health bodies. It was an executive agency of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy.
"Pasty tax" was a popular phrase used by the British press to describe a proposal in the 2012 United Kingdom budget to simplify the tax treatment of "hot takeaway food" so that Value Added Tax (VAT) would be charged at 20% in all cases. The change would have increased the sale price of hot snacks such as sausage rolls and Cornish pasties sold on the premises where they were baked. The Chancellor of the Exchequer, George Osborne delivered the proposal of the so-called "March Budget".
A sweetened beverage is any beverage with added sugar. It has been described as "liquid candy". Consumption of sweetened beverages has been linked to weight gain, obesity, and associated health risks. According to the CDC, consumption of sweetened beverages is also associated with unhealthy behaviors like smoking, not getting enough sleep and exercise, and eating fast food often and not enough fruits regularly.
Coming Together is a 2-minute ad created and distributed by the Coca-Cola Company and launched on the night of January 14, 2013, on several cable networks.
Simon Laurence Stevens, Baron Stevens of Birmingham is Chair of Cancer Research UK and an independent member of the House of Lords. He served as the eighth Chief Executive of NHS England from 2014 to 2021.
Dame Barbara Ann Hakin DBE is a former Deputy Chief Executive of NHS England. She was formerly the Chief Executive of the East Midlands Strategic Health Authority. She was formerly a General Practitioner in Bradford.
The Australian paradox is an observation of diverging trends in sugar consumption and obesity rates in Australia. The term was first used in a 2011 study published in Nutrients by Professor Jennie Brand-Miller, in which she and co-author Dr Alan Barclay reported that, in Australia, "a substantial decline in refined sugars intake occurred over the same timeframe that obesity has increased."
Aseem Malhotra is a controversial British cardiologist, health campaigner, author, and, contrary to public health consensus, an anti-mRNA vaccine activist. He contends that people should reduce sugar in their diet, adopt a low-carb and high-fat diet, and reduce their use of prescription drugs. He was the first science director of Action on Sugar in 2014, was listed as one of The Sunday Times 500 most influential people in 2016, and was twice recognized as one of the top fifty black and minority ethnic community member pioneers in the UK's National Health Service by the Health Service Journal. Malhotra is co-author of a book called The Pioppi Diet.
Sugar is heavily marketed both by sugar producers and the producers of sugary drinks and foods. Apart from direct marketing methods such as messaging on packaging, television ads, advergames, and product placement in setting like blogs, industry has worked to steer coverage of sugar-related health information in popular media, including news media and social media.
The UK Health Security Agency (UKHSA) is a government agency in the United Kingdom, responsible since April 2021 for England-wide public health protection and infectious disease capability and replacing Public Health England. It is an executive agency of the Department of Health and Social Care (DHSC).
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