Healthy Lives, Healthy People

1. Healthy Lives, Healthy People Our strategy for public health in England Dr Simon Tanner Regional Director of Public Health for London

2. Health inequalities in London

3. 86 84 82 80 78 Life expectancy (years) 76 74 72 70 Brent Ealing Sutton Merton Enfield Bexley Barnet Camden Harrow Islington Lambeth Bromley Croydon London Hackney Hillingdon Newham Haringey Havering Redbridge Hounslow Lewisham Southwark Greenwich Wandsworth Tower Hamlets Waltham Forest City of Westminster Barking and Dagenham Kingston upon Thames Richmond upon Thames Kensington and Chelsea Hammersmith and Fulham London borough Life expectancy (males) Male life expectancy in London by borough (2005-2007)

4. Premature deaths from cancers

5. The new approach • Public health is a government priority • Action across NHS and social care – and all areas that impact on health • A new focus on local action led by individuals, families, communities and local government • Resources ring-fenced and incentives to improve • Strengthened protection against health threats • Professionally led, evidence-based and efficient

6. New public health system – national • A new integrated public health service – Public Health England – will be set up as part of DH. Its remit will focus on ‘health protection’. • Funding ring-fenced within the DH budget. • Public health part of the NHS Commissioning Board’s mandate. • ‘Responsibility Deal’ with business, to drive improvements in healthy living. • New Cabinet sub-committee on public health.

7. New public health system – local • New role for local authorities to lead action in health improvement and tackling inequalities. • Directors of Public Health to be strategic leads within local authorities • Local authorities allocated ring-fenced health improvement funding. • A new ‘health premium’ will reward progress to tackle inequalities. • Outcomes driven: DH to set ‘Outcomes Framework’ but local freedom to achieve this.

8. Jointly appointed by the local authority and Public Health England Promote integrated working across NHS and local government services Develop the JSNA and joint health and wellbeing strategy Director of Public Health Accountable to the Secretary of State and Chief Medical Officer Commissioning advice to GPs “Principal adviser” on all health matters to the LA on the full range of local authority functions

9. A different system for London • The Mayor of London has an existing responsibility for tackling health inequalities. • London Health Improvement Board proposed, governed by boroughs and the Mayor. • We want to create a system that: • integrated with Mayor’s health inequalities role. • Joins with local roles and with Public Health England into a coherent system for London • Can make a real impact on Londoners’ health

10. Consultations • Current consultations on key aspects of these proposals, including on: • public health commissioning & funding • outcomes framework • And to inform links across the new system: • Health and wellbeing boards • New providers of services, including voluntary and community sector providers • Today’s event is to listen to your views and inform your further contributions

12. Next steps and Questions • London’s Public Health Transition Advisory Group – Peter Lewis is a member • Consultations close on 31 March 2011 • We will consider your comments today • Encourage further written responses www.consultations.dh.gov.uk/healthy-people • To email the white paper team: PublicHealthEngland@dh.gsi.gov.uk • To email the public health team in London: LondonPublicHealth@dh.gsi.gov.uk