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The Changing National Context

The Changing National Context. David Hunter Professor of Health Policy & Management. Coming Up. Implementing the Health and Social Care Act 2012 Public health workforce strategy consultation Progress with the new kid on the block – Health and Wellbeing Boards

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The Changing National Context

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  1. The Changing National Context David Hunter Professor of Health Policy & Management

  2. Coming Up • Implementing the Health and Social Care Act 2012 • Public health workforce strategy consultation • Progress with the new kid on the block – Health and Wellbeing Boards • Strengthening the public health evidence base

  3. Health and Social Care Act 2012 • 473 pages + 3 Departments of Health: DH, NHSCB, PHE • Deeply unpopular – considerable anger and resistance, including over public health changes • The coalition government may have won the battle but has it won the war? • Considerable risks lie ahead as well as opportunities

  4. Public Health Workforce Strategy Consultation (1) Impact assessment • Risk of fragmentation of public health workforce with transfer to LG and PHE • LAs lack expertise to plan and support PH specialists • Various changes and policies could fail to succeed unless brought together under a strategic vision for the PH workforce

  5. Public Health Workforce Strategy Consultation (2) • Intended benefits of the strategy include improved capacity and capability, more integrated workforce planning, sustainable investment in training and education, better value for money • Consultation on 17 questions closes on 29 June 2012

  6. Progress with Health & Wellbeing Boards (1) • Face considerable challenge to do things differently and overcome tribalism • Clarity needed about what HWBs want to achieve: risk of distraction, focus on NHS acute hospitals reconfiguration issues • Central-local tension with HWBs caught in the middle • Risk of re-badging previous partnership arrangements

  7. Progress with Health & Wellbeing Boards (2) • Diversity to be expected – need to capture the learning • Risk of another layer adding to an already complex architecture and increasing transaction costs • Tough leadership challenge – do they come more complex or wicked?

  8. Strengthening the Evidence Base • NICE public health guidance being given a makeover to be more local government facing • Relationship between NICE and PHE • NIHR School for Public Health Research (SfPHR)

  9. NICE’s Public Health ‘Offer’ • Evidence reviews, guidance, quality standards, other evidence based outputs • Accreditation of other public health guidance producers • Methodological leadership and support on optimal ways of reviewing and appraising evidence • QOF for public health

  10. NIHR SfPHR (1) • ‘Soft’ launch 18 April 2012: www.nihr.ac.uk • School is made up of 8 academic institutions, including Fuse (www.fuse.ac.uk) • £20 million over 5 years

  11. NIHR SfPHR (2) • Narrowing gap between users and suppliers of research • Increasing evidence base for effective public health practice: applied research • Undertaking applied translational research • Considering local public health needs and evaluating innovative local practices with the potential for wider benefit

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