Public Health in Berkshire New Arrangements

1. Public Health in Berkshire New Arrangements Dr Lise Llewellyn Director of Public Health Berkshire

2. Aim • Understanding the new Public Health agenda - the responsibilities for Local Authorities and which elements of Public Health will be led by other bodies. • The Berkshire model • An overview of Financial and Commissioning arrangements • The contribution that community pharmacy can make to improving the health of the population

3. The New Public Health Arena • Local government - New duties • Public Health England provide information national programmes expert health protection services • Area Team / primary care screening immunisation

4. Local government - 3 main Duties • Duty to “take such steps as it considers appropriate for improving the health of the people in its area • Responsible for ensuring robust plans in place to protect the health of their population - extension of role • Support clinical commissioning through public health support - “core offer” • Commission public health services to improve the health of local residents - using ring fenced budget plus • How Members local leadership / champions Statutory health and well being boards - Role is to drive local commissioning , integration , new opportunities to improve health and well being

5. Berkshire structure Bracknell Forest team Local Structure - in each Unitary Authority 1 - Consultant - head of public health 1 - Programme manager 3 -Project officers Administrator Matrix working Hosted by Bracknell Forest Shared team - Director of public Health Consultant public Health - health protection and emergency planning 1 – programme manager 3 - Information analysts - underpin JSNA PA Local focus with ability to share best practice and make larger impact

6. Outcomes - accountability • National Outcomes Framework • Improve life expectancy and improve inequalities • Delivery • Local - Joint strategic needs assessment • Pharmaceutical needs assessment • Local - Health and well being strategy

7. Context - money Grant allocation – ring fenced budget The primary purpose of the conditions is to ensure that it is spent on the new public health responsibilities being transferred from the NHS to local authorities, that it is spent appropriately and accounted for properly Requirements - improve significantly the health and wellbeing of local populations carry out health protection functions delegated from the Secretary of State reduce health inequalities across the life course, including within hard to reach groups ensure the provision of population healthcare advice Size of the grant

8. Grant Allocations

9. Contracts and finance • Roll over for one year -safe transition • Mandated Public Health contracts e.g. - Sexual Health - Community Trust e.g. School nursing - national children's measurement programme e.g. NHS Health checks • Part A B C contracts • Risk share - where activity not clear agreed maximum two year pace of change • Contract review planned

10. Local pharmaceutical services • PCT inheritance • DAAT funding • LES style contract for one year • New contract for 2014/15 - public health contract guidance issues • Letter sent to all • Sign up • Work with LPC to ensure safe transition and continuation of joint working

11. Local Pharmacy activity

12. Questions