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Public Health in London

Public Health in London. Deborah Williams Regional Public Health Group - London. Congratulations. RPHG and NHSL pleased to support the database development Manchester and London feedback Concept of a market in Public Health A tool for commissioners Bar for inclusion set high

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Public Health in London

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  1. Public Health in London Deborah Williams Regional Public Health Group - London

  2. Congratulations • RPHG and NHSL pleased to support the database development • Manchester and London feedback • Concept of a market in Public Health • A tool for commissioners • Bar for inclusion set high • Strengthening local voices

  3. What does “public health” mean? • Health improvement and tackling health inequalities: ‘wider/social determinants’ and health related behaviours • Health protection (eg screening, immunisation and vaccination, emergency planning) • Public Health input into new commissioning structures • A concentration on prevention rather than cure.

  4. Key Elements of Coalition’s Reform Agenda • Shift of health improvement resource from NHS to local government leadership. • Locally - PH teams in councils with DPH leadership to cover all three pillars of PH • Nationally - Public Health England to be responsible for health protection and helping local action on health improvement based on best available evidence

  5. Why We Need to Work Together • 17 year difference in life-expectancy across London • ‘Localism’ needs to operate in a framework that allows collaboration when useful • We have good evidence for interventions that we don’t implement • We do a lot of things which have limited effectiveness • There is burgeoning literature and policy advice on behavioural change in health and wider social policy

  6. Where have we got to? Governance National - Regional Director of Public Health (Dr Simon Tanner) responsible for transition and linking with Department of Health and the Public Health England transition team Regional - London PH Transition Programme Board has been in place for over 1 year with senior Borough and VCS Representation

  7. Where have we got to? Healthy Lives, Healthy People Update and Way Forward (July 2011- post listening exercise) • Five further policy papers due to be published by the Department during the Autumn: - Public health outcomes framework - Public Health England Operating Model - Public health in local government and the DPH - Public health funding - Workforce strategy

  8. Where have we got to? • Role of Director of Public Health broadly outlined • Appointment process and responsibilities to be clarified • National agreement on moving staff from the NHS to LG being developed • Discussions in London about the future of c.1000 public health staff • London Health Improvement Board being established • 2012 -13 PHE Leadership recruited and shadow operation

  9. London Health Improvement Board • Membership includes: - 4 Borough leaders - NHS reps - GLA: Mayor and Pam Chesters • Shadow Board will work with stakeholders to identify how pan-London action can produce improvements in outcomes and cost savings • The Board’s activities will be funded by 3% of public health funds from local authorities (potential for a further 3%) • Next meeting in October to discuss potential actions relating to: - Alcohol - Childhood obesity - Cancer: early detection and prevention - Information for health improvement

  10. So what does this mean for the VSC ? Healthy Lives, Healthy People • Starting well • Developing well • Growing Up well • Living and Working well • Ageing well

  11. Staying in the Conversations • DH and VSC linked through Regional Voices • Mayor and VCS linked through Community Voices • VCS is part of thinking about Any Qualified Provider • Added value of VCS provision in a more “traditional” pathway

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