March 2017
Welcome to the ebulletin Welcome to the March edition of the Public Health Network Cymru ebulletin. This month’s spotlight topic focuses on World Earth Day. World Earth Day is an annual event, celebrated on April 22, on which day events worldwide are held to demonstrate support for environmental protection. It was first celebrated in 1970, and is now coordinated globally by the Earth Day Network and celebrated in more than 193 countries each year. In this edition we have Advisory Group member, Bronia Bendall talking to us about her areas of expertise as Health and Wellbeing Advisor for Natural Resources Wales. Public Health Network Cymru have had several events taking place over the last few weeks including #Technihealth, a Research in Wales Showase event and the Adverse Childhood Experienes (ACEs) Conference being the most recent. There are more events to follow which include a Behaviour Change Seminar being held in Bangor University on 4 May 2017 and our annual roadshow events across Wales will take place throughout May. Further details will be available on our website in due course and will be disseminated to all Network members. Finally if you have any news or event items that you would like to see included in next month’s issue please email publichealth.network@wales.nhs.uk
@PHNetworkcymru
/publichealthnetworkcymru
www.publichealthnetwork.cymru
The Wor
orld is in our Hands! Spotlight on World Earth Day
This month’s ebulletin focuses on World Earth Day which is an event observed annually on April 22. It is a day held to demonstrate and promote environmental awareness and calls for the protection of our planet. Today, Earth Day, 2017 is celebrated in more than 193 countries each year.
World Earth Day 2017 Traditionally, Earth Day 2017 is viewed as a time of environmental consciousness and awareness. It is usually celebrated with outdoor performances, where individuals or groups perform acts of service to earth such as the planting of trees, picking up roadside trash, conducting various programs of recycling and conservation using recycling containers for snacks and lunches. Some people are encouraged to sign petitions to governments, calling for stronger or immediate action to stop global warming and to reverse environmental destruction. Television stations frequently air programs dealing with environmental issues. Earth Day 2017’s Campaign is Environmental and Climate Literacy. Education is the foundation for progress. We need to build a global citizenry fluent in the concepts of climate change and aware its unprecedented threat to our planet. We need to empower everyone with the knowledge to inspire action in defense of environmental protection. Environmental and climate literacy is the engine not only for creating green voters and advancing environmental and climate laws and policies but also for accelerating green technologies and jobs. This Earth Day, gather with your community for Environmental and Climate Literacy Teach-In or another project focused on education. Earth Day Network are launching Earth Day and Teach-In Toolkits that will lay out the steps for holding a successful event. More information can be found here http://www.earthday.org/earthday/
Climate Spirals Effectively communicating climate change is a challenge. The animated climate spiral is a different way to show the historically observed changes and resonates with a broad audience. The original version quickly went viral, being seen millions of times on Facebook and Twitter. A version was even used in the opening ceremony of the Rio Olympics! More information can be found at https://www.climate-lab-book.ac.uk/spirals/
Green Infrastructure for Healthier Citizens A recent workshop in Jakarta, led by researchers from the Sustainable Places Research Institute, the School of Geography and Planning and the School of Medicine, examined the relationship between health and the environment. The three day workshop, which ran from the 16-18 January, explored how environmental conditions have both positive (e.g. green spaces as public commons, increasing community well-being and resilience) and negative (e.g. poor air quality causing respiratory illnesses) impacts on citizens’ health, such as the intractable respiratory and gastrointestinal infections that persistently affect urban populations in the Indonesian capital region. Participants also visited communities and projects where NGOs, staff from Universitas Indonesia, and community members work together to provide green infrastructure as a way of promoting health. Employing a green infrastructure approach, these spaces are able to perform multiple
functions. In the communities visited this included establishing a ‘safe space’ for use during flood events, which can also serve as recreational and amenity space, and space for physical activities. The workshop forms part of a wider programme of work on health and the environment led by, the School of Geography and Planning, the Sustainable Places Research Institute, and School of Medicine at Cardiff University. The work brings together urban planners, architects, environmental activists, community representatives, and medical and social science researchers, in order to understand how human behaviour and the natural and built environments shape human health. The Jakarta workshop was funded by ESRC/IAA, and held in the Faculty of Engineering and Harapan Kita Women and Children Hospital in the Faculty of Medicine, Universitas Indonesia. The Cardiff team involved Professor Terry Marsden, Dr Andrew Flynn, Dr Andrea Frank, Dr David Tan and Dr Yi Gong.
Being Positive About Tackling Climate Change - The Role of the Welsh Public Sector By Dr Clive Walmsley, Natural Resources Wales Events like Earth Day that seek to demonstrate and promote environmental awareness can help galvanise action on climate change. But such annual events, including the similar Earth Hour event when organisations and individuals are encouraged to turn off lights for an hour, can only play a small part in enabling a move to low carbon economy and society. Given the scale of the transformation that is required to meet an 80% reduction in greenhouse gas emissions by 2050 (the current Welsh, UK and international goal), all parts of society including government, business, the third sector, communities and individuals have an important role to play. A major survey of public perceptions of climate change in Wales undertaken by Cardiff University as part of the Climate Change Consortium for Wales initiative in 2013 showed that over three-quarters of people in Wales recognised climate change as an issue of concern and the need to act on it. So far so good. However, there was a clear perception among many that others should be principally responsible for tackling it, in particular government. The Climate Change Commission for Wales in developing the Climate Change Strategy for Wales back in 2010 recognised the ‘business as usual’ barrier to action that needs to be overcome. Both enabling behavioural change across society and action by Welsh public sector to act as an exemplar and catalyse wider action were identified as key routes to achieving progress. As the largest Welsh Government sponsored body, with its remit for environmental protection, Natural Resources Wales clearly has an important role in demonstrating how the public sector can reduce its environmental footprint. To achieve this NRW, with Welsh Government support, has developed the Carbon Positive project which is evaluating NRW’s net carbon status, accounting for not only greenhouse gas emissions across the whole of NRW’s estate but also the carbon within the 7% of Wales’ land that NRW manages. Part of the project has involved estimating the amount of carbon stored in the vegetation and soils, and the amount of carbon captured or emitted over time. This will enable us to better consider what land management changes we should undertake to reduce our overall carbon footprint. The project has also identified opportunties to reduce our carbon emissions across the organisation’s offices, fleet and assets (like pumping stations and flood defences). We are now in the process of analysing the costs, carbon savings and wider benefits of these measures to produce a costed, prioritised programme of work for NRW. While many of those measures that have been identified are relatively obvious such as improving energy efficiency in buildings, more renewable energy generation or moving to low carbon transport, it has uncovered the importance of restoring peat bogs that are currently losing carbon because of their damaged state and the need to consider how the goods and services that NRW purchases can be procured in a way that drives emission reductions too. Through sharing our learning, approach and experience, the Carbon Positive Project will help to disseminate best practice in carbon management across the Welsh public sector, with the ambition of accelerating decarbonisation in Wales. While the public sector in Wales itself emits only one percent of Wales’ total emissions, it is invovled in procuring around £4 billion of goods and services annually so has a much greater potential to drive change to carbon efficient goods and services, and of course, the public health sector is no exception. The NHS as a whole and many Health Trusts are actively trying to reduce their emissions by improving energy efficiency principally to save money. Yet, ultimately these emission reductions will be crucial to maintaining public health too. The Living with Environmental Change partnership has produced a Health report card for the UK that identifies extreme weather events including heatwaves and floods as impacting upon both the physical and mental health of individuals as well as the effectiveness of the health and social care system itself both at present and in the future. Moreover, climate change is projected to exacerbate air quality impacts on human health, the prevalence of food-borne disease and contamination as well as the spread of vector-borne diseases. These human health threats should put tackling the root cause of climate change on the public health agenda. While the public sector has many competing priorities and tight budget limits, it remains that case that helping reduce emissions to address climate change should be something for all public
services and organisations to contribute towards, including the public health sector. Further details of NRW’s Carbon Positive project can be found at: https://naturalresources.wales/ climate-change/carbon-positive-project/?lang=eng The Living with Environmental Change report card for Health can be found at:http://www.nerc.ac.uk/ research/partnerships/ride/lwec/report-cards/health
Our Environment is Changing, We Need to Take Notice Wales has introduced pioneering legislation which puts sustainable deelopment at the centre of public service in Wales. The Well-being of Future Generations (Wales) Act introduced in 2015 sets out seven well-being goals to create a Wales that we all want to live in, now and in the future. It requires Welsh public bodies, no matter what their specific responsibilities are, to carry out sustainable development (SD), and calls for new ways of working so that organisations can show that they have applied this SD principle: these include planning for the long-term and in an integrated way, whilst taking preventative action, collaborating with others and involving the people who use our services and the staff who deliver them.
The well-being goal for ‘a prosperous Wales’ includes a Wales with a low carbon society, and which acts on climate change. Climate change is one of the most serious global threats the world faces; increasing temperatures, rising sea-levels and modified rainfall patterns will change the climaterelated risks to people and our built environment (see figure 1). Figure 1: Examples of climate reglated risks: • Increased flooding • Increased heat-related deaths • Increased extreme weather ‘events’ • Potential increases in pests, including ticks, ants and house flies The UK Climate Change Risk Assessment Summary for Wales highlighted that research is needed urgently to assess the need for action across a number of areas in response to climate change. These changes include heat and flooding; risks to the viability of coastal communities from sea level rise;
risks to buildings and cultural heritage from extreme weather; and risks to health from changing air quality and vector-borne diseases. UK Climate 2017 Change Risk Assessment
How climate change affects people and communities The health and wellbeing of the UK population will be affected by climate change. Flooding and heat are the biggest risks, with an increase in pests and diseases also possible. Action is required to deal with these risks, and to seize the opportunities.
Committee on Climate Change
OUR WELLBEING INCLUDES…
ADAPT TO CLIMATE CHANGE AND IMPROVE WELLBEING BY…
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• using sustainable urban drainage (SuDS)
• making temperatures in homes comfortable in winter and summer
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These all contribute to our wellbeing
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• increasing urban green space
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INSTEAD OF… • limited green space • overloaded drainage • overheating homes
• cold and damp homes
KEY RISKS TO PEOPLE AND COMMUNITIES
Current
FLOODING
2050s
1.8 million people in the UK are living in areas at significant risk of flooding.
250%
OVERHEATING
PESTS AND DISEASES
The number of people at risk is projected to rise to 2.6 million in a 2ºC global warming scenario.
There are currently 2000 heat-related deaths per year in the UK.
Heat-related deaths could reach 5000 per year by the 2050s, and even more if population growth is taken into account.
People in the UK are already exposed to food and water-borne diseases such as campylobacter, and to diseases carried by some organisms, such as lyme disease.
The number of pests in the UK, such as ticks, ants and house flies, may increase due to climate change.
Existing diseases like lyme disease could increase, and new diseases could be transmitted to the UK.
www.theccc.org.uk/uk-climate-change-risk-assessment-2017
Wales’ commitment to tackling climate change In transitioning to a low carbon economy, Wales has strengthened its legislative framework to reduce greenhouse gas emissions, through The Environment (Wales) Act 2016. The Act sets a legal target of reducing emissions by a minimum of 80% by 2050. To ensure that regular progress is made towards this long-term target, the Act requires a system of 5-yearly carbon budgets and interim targets. The Welsh Government’s Climate Change Strategy for Wales recognises how actions taken by people, communities and organisations across Wales will help reach this target.
Wales’ commitment to tackling climate change
2
Transitioning to a low carbon economy The Paris Agreement saw 195 countries agree to limit climate change to well below
2 °c
and aim to limit the change to
1.5 °
Carbon Budget
80%
by 2050
The Act requires a system of 5 yearly carbon budgets and interim targets; these serve as stepping stones and ensure that regular progress is made towards this long-term target.
c
2020
Interim target
2016–20
The Act sets a legal target of reducing emissions by a minimum of
Wales has strengthened its legislative framework to reduce greenhouse gas emissions through The Environment (Wales) Act 2016.
Interim emission targets will be set for 2020, 2030 and 2040 and will be introduced by the end of 2018.
Targets
#GweithreduHinsawddCymru #ClimateActionWales
2021–25
The first carbon budget is 2016–20 and subsequent budgets will run until 2050.
The first two carbon budgets for 2016–20 and 2021–25 will be set before the end of 2018.
CO2
2030
2026–30
2031–35
2050
2040
Interim target
Interim target
2036–40
2041–46
The remaining budgets will be set at least 5 years before the start of their respective budget period.
2046–50
Carbon budgets provide long term economic predictability to encourage investment and act as a stimulus for green growth. All sectors across Wales have roles to play in reducing emissions and transitioning to a low carbon economy. Transitioning to a low carbon society is vital to improve the social, economic, environmental and cultural well-being of Wales and meet international obligations.
80% emission reduction
A globally responsible Wales
A prosperous Wales
A Wales of vibrant culture and thriving Welsh Language
A resilient Wales
A Wales of cohesive communities
A healthier Wales A more equal Wales
Welsh Ministers are responsible for reporting progress against their portfolios.
WG29518 © Crown copyright 2016
What can we do to help as individuals? One of the ways we can practically work towards a more sustainable Wales is to reduce our own environmental impact. Air pollution is now recognised as the single largest environmental health risk worldwide. Many air pollutants do not have a ‘safe’ concentration threshold, and exposure can be reduced. Two of the main pollutants which are known to harm health are nitrogen dioxide and particulate matter, with traffic being a contributor to increased concentrations of both. Thinking about how we travel, including choosing to walk and cycle, and the energy we use in our homes is an important element to playing our part in reducing climate change, to improve the environmental well-being of Wales for current and future generations. For further information, and to share your thoughts on how we can think and act differently to protect and improve our environment, please email: publichealth.sustainability@wales.nhs.uk Further reading: Committee on Climate Change: People and the Built Environment, www.theccc.org.uk/uk-climatechange-risk-assessment-2017/ccra-chapters/people-and-the-built-environment/ UK Climate Change Risk Assessment 2017 Evidence Report: Summary for Wales This national summary presents the Wales-specific evidence included in the UK Climate Change Risk Assessment (CCRA2) Evidence Report, www.theccc.org.uk/wp-content/uploads/2016/07/UK-CCRA2017-Wales-National-Summary.pdf ‘The Essentials’ - Well-being of Future Generations Act, http://gov.wales/topics/people-and-communities/people/future-generations-act Climate Change Strategy for Wales, http://gov.wales/topics/environmentcountryside/climatechange/emissions/climate-change-strategy-for-wales
On The Spot This month we have Public Health Network Cymru Advisory Group member Bronia Bendall on the spot. Bronia is a Health and Wellbeing Advisor for Natural Resources Wales.
What is your area of expertise?
I have worked the field of health and wellbeing promotion for nearly 20 years. I started out as a fitness instructor in Leisure Services working with people of all levels of ability - the most rewarding being those on exercise referral - that period of time working with inspirational people changing their physical abilities and improving their mental health through physical activity was one of the most valuable periods of my career and has been the bedrock of my work ever since. As my career has progressed I now specialise in strategic planning and health improvement policy primarily focussed on physical activity, obesity, mental health and the multiple benefits that our green infrastructure brings. I am passionate about the outdoors and when an opportunity arose in the summer of 2015 to apply for the Natural Resources Wales’ Health and Wellbeing Advisor I jumped at it. I now work with internal colleagues to develop and promote NRW’s health offer and to work with external colleagues to promote the multiple benefits of our environment and the contribution it makes to health and wellbeing.
Why did you join the PHNC Advisory Group?
The PHNC offers great opportunity to work across sectors; share information and learning; and develop joined up, collaborative approaches with partners. Being on the Advisory Group offers further opportunity to help guide the Network so that it considers the many sectors that influence our health and wellbeing. Being NRWs Health and Wellbeing Advisor and being part of this Advisory Group offers me great opportunity to highlight the multiple benefits that our natural resources play on people’s wellbeing.
This month’s e-bulletin spotlights World Earth Day which focuses on Environment and Climate Literacy. What do you think are the main challenges facing us in addressing this area in Wales? There are potentially multiple public health challenges on the horizon from the effects of climate change, e.g. heat and heatwaves; milder winters; flooding; impacts of extreme events on health services and social care; outdoor air quality; pollens and other allegens; food-borne disease and contamination; emerging infections. These human health threats should put tackling the root cause of climate change on everyone’s agenda.
Although three-quarters of people in Wales recognise climate change as an issue of concern many believe it to be the responsibilty of others, in particular, government. However, in order to meet an 80% reduction in greenhouse gas emissions by 2050, all parts of society must play their part - there needs to be further behavioural change across society alongside action by the Welsh public sector to act as an exemplar. We must all seek to reduce emissions whether that be in the workplace, in the home and within our own lifestyle choices.
What tips would you give our members to actively promote or participate in World Earth Day? Climate change goes beyond World Earth Day, so my tips are to promote and undertake these everyday changes as widely as possible. Many are common sense, yet sometimes we forget to implement them as often as we can: Reduce your emissions from driving, e.g. Walk or cycle where posisble, or use car-sharing or public transport; drive a low carbon vehicle like a hybrid, combine errands to make fewer trips; consider using Skype for work meetings rather than travelling distances. Reduce air travel, e.g.: Avoid frequent flying and fly economy class (this is like car-sharing as emissions are spread out over more people) Reduce home energy usage, e.g.: Insulate your home to reduce energy loss, purchase energy efficient appliances, turn off lights and use energy efficient bulbs, don’t set the thermostat too high, explore solar panel usage. Reduce your footprint from the food you eat, e.g.:Eat locally produced and seasonal foods (food transportation produces vast emissions), reduce the amount of meat and dairy you eat - again buy as locally as possible. More ways to reduce your carbon footprint, e.g.: • Influence your workplaces to look at Carbon Positive schemes to reduce their carbon footprint; • Make water efficient choices when purchasing taps; toilets; washing machines etc • Reduce water usage in the home and garden - don’t leave the tap running when brushing teeth, buy climate appropriate plants, water plants in the evenings when needed, harvest rainwater rather than using mains water etc. • Reduce, reuse and re-cycle! • Support clean energy sources - advocate for clean alternatives to fossil fuels, such as wind, solar, geothermal, and appropriately designed hydroelectric and biomass energy projects.
If you were granted 3 wishes what would they be?
Well, as this is work related, they would be: 1. To increase the green infrastructure in our cities - 80% of our population lives in urban areas and we must ensure that we increase green infrastructure (not add to grey) and reap multiple benefits that they offer - climate change, health, economy, community, place-making etc. 2. For there to be large-scale change in regard to everyone’s contribution to the climate change agenda - we all have a part to play - government, public sector, business, workplaces, homes, individual choices etc. 3. Lastly....For everyone to enjoy the outdoors everyday - whether that be their local park, woodlands, our waterways, lakes and coast, the hills or mountains, etc. Go for a walk, bike or run, enjoy our nature and biodiversity, or just sit and relax - our natural resources are beautiful and we need to enjoy and protect them.
What are your personal interests?
A bit of walking, a bit of running, a bit of gardening...a lot of outdoors! I have three dogs and love getting out and about walking or running with them.
The Grapevine This section of the ebulletin is dedicated to news from the network members. You can submit news on the work being undertaken in your area, write us an article, showcase an upcoming project or show off your achievements! If you would like to submit an article for the Grapevine, please email publichealth.network@wales.nhs.uk The article should be no longer than 500 words and pictures are always welcome!
R&D Event and Launch of the R&D Community Website Over 140 delegates from Public Health Wales and our partner organisations attended Public Health Wales’ ‘Research in Wales’ event on Thursday 2 March in Cardiff or watched a live stream of the day. The event was held to showcase research collaborations between Public Health Wales and Welsh higher education institutions, public sector, third sector and industry. The event which was opened by Tracey Cooper, Chief Executive of Public Health Wales, had a strong networking element with over 30 stalls and posters from partnership organisations in order to raise awareness of different areas of work and collaborative opportunities. Professor Simon Smail launched the new R&D Community website. The website provides an open environment for everyone with an interest in public health research through the exchange of knowledge and ideas. Professor Marcus Longley, Director of the Welsh Institute for Health and Social Care at the University of South Wales gave the opening presentation ‘The purpose of research is to change the world, not just to understand it’. He set the case for ensuring that high quality and timely research creates demonstrable change. The importance of research impact was emphasised, especially the need for researchers to operate in closer proximity to their intended stakeholders. The event’s social media audience certainly seemed to agree, with dozens of tweets using the event’s Twitter hashtag #RIW2017, where photos of the day and a recording of the day can still be found. Shaun Kelly from NSPCC and Chief Inspector John Wainwright followed presenting a multi-agency project between South Wales Police, NSPCC, Barnardos, Bridgend County Borough Council and Public Health Wales, to understand the Police response to vulnerability. After lunch the Chief Medical Officer for Wales, Dr Frank Atherton discussed health research in Wales and the need to align policy and research priorities. Public Health Wales’ members of staff, Angela Jones and Noel Craine topped off an informative day sharing their experience of how research is shaping practice to improve maternal health and reduce low birth rates, and psychosocial interventions to reduce blood borne virus risk, respectively. A key theme of the day was that research doesn’t happen in isolation. Dr Alisha Davies, Head of Research
and Development at Public Health Wales acknowledged ‘research doesn’t happen through good will alone. Time, effort and resources are needed to make it a success’. Mark Griffiths, one of the event’s lead organisers, summed up the event by saying ‘it is exciting to see so many people here today, representing so many different organisations. It really does highlight how public health research is multi-disciplinary and occasions such as this can only strenghten partnership working.’ The research team would like to encourage staff from across the organisation with an interest in research to share and explore ideas by visiting the new R&D Community website where the presentations and speaker summaries from the day can also be found.
Shared Practice This month’s project is Switched On. Switched On is a substance misuse service for Cardiff and the Vale. It is an innovative, flagship multi-agency service which is made up of existing services which have been brought together to provide a holistic provision for young people and those who support young people. Switched On is a Tier 1 education and advice service. They work closely with colleagues in Tier 2, 3 and adult services and facilitate referrals to specialist services where necessary. They offer tailored, bespoke training sessions to a range of practitioners such as teachers, nurses, youth workers, foster carers and many more. Direct education is provided to small groups of young people in a variety of settings from schools to youth centres. If you would like to add your own project to the Shared Practice Directory there is an easy online form (only accessible to members) and once approved by one of the coordinators your project will then appear on the directory. There is also a Self Assessment Toolkit which can be printed off or completed online and allows coordinators to quality assure the development and delivery of new and existing projects. If you need help completing the toolkit or have any questions please contact one of the coordinators at publichealth.network@wales.nhs.uk
News Round-Up Welcome to the News Round-Up. Click on the headings of the news item to take you to the full news story on the Public Health Network Cymru Website.
Sexual Health HIV Expert Group publish Pre-Exposure Prophylaxis (PrEP) Review Findings The independent HIV Expert Group established by Public Health Wales has completed its review of the available evidence of the effectiveness of PrEP (pre-exposure prophylaxis) in HIV prevention among high risk individuals.
Maternal and Newborn Health Teenage pregnancy rates in the South Wales Valleys have dropped by almost half in seven years, it has been revealed Teenage pregnancy rates in the South Wales Valleys have dropped by almost half in seven years.
Children and Young People Childline launches counselling app Childline has launched an app that is the first to provide counselling to young people in need of help directly through their mobile devices.
Older People Free carbon monoxide awareness workshop
The Gas Safe Charity is running a series of free half day workshops across the UK aimed at ANY organisations that deliver services in the homes of vulnerable people.
Children and Young People Government launches major new drive on internet safety
The Government has begun work on a new Internet Safety Strategy aimed at preventing children and young people from harm and making the internet a safer place. A green paper on this crossgovernment initiative is expected in summer.
Click Here for more news on the Public Health Network Cymru website
April
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Health Economics for Public Health Practice and Research Bangor
Mental Health Provision in Wales: Access, Quality and Next Steps for Policy Central Cardiff Welfare of Children and Young People - Accredited Training Level 3 through Agored Cymru Cardiff
Physical Activity Policy Through the Life Course Loughborough University
05 07 12 19 26 26 26 27 27
StreetGames National Conference Warwick University, Coventry Falls and Dementia in Research and Clinical Practice Swansea Scout and Guides HQ
International Physical Literacy Conference Ontario
Obesity: Tipping Back the Scales of the Nation Manchester
When a Child Dies - Supporting Parents and Family Members Child Bereavement UK, Buckinghamshire
Evaluation of Public Health Projects and Programmes: An Introduction Manchester Best Foot Forward: Getting Good Nutrition Right from the Start London
The Sustain Wales Summit 2017 Principality Stadium, Cardiff
Implementing Policy on Sugar Reduction - Reformulation, Consumer Choices and Regulation Central London
Click Here for more events on the Public Health Network Cymru website
Contact Us Publichealth.network@wales.nhs.uk Capital Quarter 2 Floor 5 Tyndall Street Cardiff CF10 4BZ www.publichealthnetwork.cymru If you have any news or events to contribute to the next edition please submit them to publichealth.network@wales.nhs.uk Deadline for submission is the 3rd Friday of every month.
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