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Coming Out of Transition. Presented by David Hunter Professor of Health Policy and Management 15 th October 2013. Emerging Issues. Progress in embedding public health in local government Organisation of public health function: centralised versus distributed model
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Coming Out of Transition Presented by David Hunter Professor of Health Policy and Management 15th October 2013
Emerging Issues • Progress in embedding public health in local government • Organisation of public health function: centralised versus distributed model • How is Public Health England being viewed? • Health and Wellbeing Boards: are expectations too high? • Where is public health on the national agenda?
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 (eg Lancashire) • 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
Or is the Glass Half-Full? • Welcome opportunity • To transform the way public health is conceived and delivered • To break away from the shackles of a biomedical model and embrace a social model: from a deficit to an assets-based approach • To develop new skills and competencies – not a case of preserving the old and familiar • To embed new leadership style focused on influencing others engaged in health improvement and wellbeing • To strengthen the evidence base and make it more relevant, eg NICE’s work on the cost-effectiveness of public health activities
Looking Ahead • Election in May 2015 – more change in prospect?