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The Changing Policy Landscape: Reflections and Looking to the Future. Presented by David Hunter Professor of Health Policy & Management 1 st July 2014. Concluding Reflections (1). Is the glass half-empty?
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The Changing Policy Landscape: Reflections and Looking to the Future Presented by David Hunter Professor of Health Policy & Management 1st July 2014
Concluding Reflections (1) • Is the glass half-empty? • Demise of the public health profession as we know it: future of specialist-practitioner-wider workforce paradigm at risk • End of DsPH as we know them • Emergence of a divided and fragmented workforce split between different cultures • Failure to recognise and invest in public health skills training • Devaluing the evidence base in political world of local government • Time of austerity: public spending cuts
Concluding Reflections (2) • Is the glass half-full? • Transform the way public health is conceived and delivered • Break away from the shackles of a biomedical model and embrace a social model: from a deficit to an assets-based approach • Develop new skills and competencies – not a case of preserving the old and familiar • Embed new leadership style focused on influencing others engaged in health improvement and wellbeing • Use of ring-fenced public health budget to lever in resources from elsewhere
Raiding the Public Health Budget BMJ March 2014 • Public health's voice drowned out in local government • Many LAs used PH funds to support wider Council services vulnerable to cuts • Dilution of PH - 'robbing Peter to pay Paul' • PH grant 'a resource to be raided' by LAs • Removal of PH functions from NHS will weaken PH • PH able to exert more influence in LG than in NHS • Reviewing where money has been spent and doing things differently is welcome
Unfinished Business (1) • Statins • Assault on sugar • Plain Packaging • E-cigarettes • Where is public health on the national agenda?
Unfinished Business (2) • Integrated care • Better Care Fund • Health and Wellbeing Boards: are expectations too high?
Unfinished Business (3) • Lacks independence • Must be credible and authoritative • How is Public Health England being viewed?
Key Principles Underpinning Health 2020 • Renewed emphasis on public health • Health is wealth • Health inequalities must be redressed • Health systems are more than just health care • Whole of society and whole of government approaches needed • Systems thinking approach adopted to analyse problems and devise solutions • From analysis to supporting delivery