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Public Health Information

NHS Cumbria's Public Health Directorate works closely with colleagues in the NHS and partners in local authorities, education, the voluntary sector and the community to protect and improve the health of local people.

On this page:

  • Public Health Commissioning Areas
  • Public Health Annual Report
  • Cumbria Intelligence Observatory
  • Gypsy Traveller Health Needs Assessment
  • Health Screening Report
  • Study into Sex Markets in Cumbria


Public Health Commissioning Areas

 Public Health Commissioning Area  Nice Guidance - Brief Intervention Local Reports/Bulletins External Links
Tobacco Control and Smoking

Brief interventions and referral for smoking cessation

Workplace interventions to promote smoking cessation

Smoking cessation services

Preventing the uptake of smoking by children and young people

School-based interventions to prevent smoking

Quitting smoking in pregnancy and following childbirth

Smokeless tobacco cessation - South Asian communities

 Tobacco Control Profiles
Alcohol & Drugs Misuse Services

Interventions to reduce substance misuse among vulnerable young people

School-based interventions on alcohol

Needle and syringe programmes

Alcohol-use disorders - preventing harmful drinking

 Alcohol Profiles
National Child Measurement Program  


Interventions to Tackle Obesity

Four commonly used methods to increase physical activity

Physical activity and the environment

Promoting physical activity for children and young people

 National Obesity Observatory

Childhood Obesity Bulletin 2011-12

NHS Healthchecks

NHS Health Check - Health Professionals

NHS Health Check - Public

Public Mental Health Services

Mental wellbeing and older people

Promoting mental wellbeing at work 

 Mental Health Observatory

Community Mental Health Profiles

Dental Public Health Services    Dental Health Observatory
Accidental Injury Prevention

Strategies to prevent unintentional injuries among under-15s

Preventing unintentional injuries among under-15s in the home

Preventing unintentional road injuries among under-15s: road design

 Injury Profiles
Population Level Interventions to Reduce and Prevent Birth Defects

Maternal and child nutrition 

Weight management before, during and after pregnancy

 Child & Maternal Health Observatory



Lifestyle Factors to Prevent Cancer and LTC

Identifying and supporting people most at risk of dying prematurely 

Prevention of cardiovascular disease

Skin cancer prevention: information, resources and environmental changes

Preventing type 2 diabetes - population and community interventions

Preventing type 2 diabetes - risk identification and interventions for individuals at high risk

 GP Profiles for Cancer

Health Profiles 2012

End of Life Care Profiles

Disease Prevelance Estimates

Workplace Health

Promoting physical activity in the workplace 

Management of long-term sickness and incapacity for work

Sexual Health Services

Prevention of sexually transmitted infections and under 18 conceptions 

Looked-after children and young people

Increasing the uptake of HIV testing among black Africans in England

Increasing the uptake of HIV testing among men who have sex with men

Cumbria Sexual Health Needs Review 2012 

Sexual Health Balanced Scorecard

Teenage Conceptions Briefing 2012

Excess Winter Deaths    Excess Winter Deaths 2011-12
Health Protection Incidents, Outbreaks & Emergencies

Reducing differences in the uptake of immunisations 

Prevention and control of healthcare-associated infections

Tuberculosis - hard-to-reach groups

 National Cleanliness Specifications in the NHS

 Guidelines for Infection Prevention and Control in Primary Care Medical Premises


Community Safety & Violence Prevention  Under Development  

PH Aspects of Social Exclusion

 Behaviour change  
Local Initatives that Reduce Public Health Impacts of Environmental Risks

Community engagement

Social and emotional wellbeing in primary education

Social and emotional wellbeing in secondary education

Social and emotional wellbeing - early years

Miscellaneous Public Health

Population Briefing 2011

Unexplained Deaths in Infancy

Child Health Profiles

Health and Wellbeing Profiles Copeland Profile 2012

Cumbria Intelligence Observatory

Cumbria Intelligence Observatory was officially launched in December 2008. It is providing comprehensive integrated intelligence on health and wellbeing in Cumbria and its districts. It is a partnership initiative between Cumbria County Council and the NHS in Cumbria, Police, Fire and Rescue Service, Cumbria Vision, the University of Cumbria and other members of Cumbria Strategic Partnership.

Our observatory has already produced a number of joint intelligence documents including area profiles and joint strategic needs assessments. Cumbria Intelligence Observatory has a strategic board that reports to Cumbria Strategic Partnership and has its own logo and its own website.

Complementing the work of the observatory, NHS Cumbria has commissioned a series of life cycle reports on the county from the North West Public Health Observatory. The first of these, Born in Cumbria, is nearing completion and a number of needs assessment and public engagement projects, focused on specific communities and issues, are ongoing.



NHS Cumbria Director of Public Health Annual Report

2012 report

The 2012 Annual Report of the Director of Public Health for Cumbria

Download and view the report here: Public Health Report 2012 (PDF)

2011 report

The 2011 Annual Report of the Director of Public Health has a theme of Health Protection.

Download the report here. Public Health Report 2011 (PDF).

2010 report

Report can be viewed online (requires Adobe Flash) or downloaded as a PDF.

2009 report



2008 report 


Cumbria Gypsy Traveller Health Needs Assessment 2010

Evidence indicates that Gypsies and Travellers have significantly poorer health status and more self-reported symptoms of ill-health than both other UK resident English-speaking ethnic minority groups and economically disadvantaged white UK residents.

 Initial consultations with Gypsies and Travellers in Cumbria suggested that there are generally low expectations of health and health services, and a great deal of misinformation.

 In order to explore health needs and beliefs further, local Travellers were commissioned to carry out face-to-face interviews with other local Travellers across the county. Focus groups were also held to try and capture Travellers’ direct experiences of health services in Cumbria.

 Questionnaires were also sent to healthcare and non-healthcare professionals in order to get feedback about their involvement and experience with Gypsies and Travellers in Cumbria and a workshop was also held.

 The following report was then pulled together identifying priorities to try and address and reduce these inequalities across Cumbria.


Health Screening in Cumbria

In 2011, the Director of Public Health published a report on all aspects of health screening in Cumbria.

This includes pre-natal/early years screening, cervical screening, breast screening and bowel cancer screening.



Study into Sex Markets in Cumbria

A report published in July 2012 provides an insight into Cumbria’s sex markets and confirms they are far less extensive than in other areas in the country.

The study, undertaken during 2010/2011 by independent researchers found evidence of around 180 male and female sex workers operating in Cumbria on a regular basis. But unlike some cities and towns which have a ‘red light’ district, Cumbria’s sex industry takes place mainly behind closed doors in hotels, people’s homes and other locations.

The study, commissioned by the Cumbria Drug and Alcohol Action Team and funded by the Northern Rock Foundation, found that sex markets in Cumbria were not as extensive as those in other parts of the north of England where similar studies have been carried out.

The report was compiled to provide a picture of the situation in Cumbria to help identify where local organisations can work together to improve existing support, and develop other services for those involved in the sex industry.

How to access support if you suspect someone is being exploited or abused

Pregnancy and Birth in Cumbria

Being born in Cumbria means being born in one of the most beautiful places on earth. The rural environment, though undeniably attractive, brings with it challenges in providing safe and sustainable healthcare services.

One area where this is particularly challenging is in the field of obstetrics. This report brings together available statistical data relating to maternity care services for the last five years. In many areas Cumbrian services are performing well, with low stillbirth and perinatal mortality rates. Investment in NHS maternity services in Cumbria is higher than in comparable areas such as Devon and North Yorkshire.

There are two reports looking at the statistical analysis of the relevant data and we have around birth and pregnancy and another anonymised case-by-case review of perinatal mortality (death of a baby shortly before or shortly after birth).


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