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Update on Emerging Policy Changes

Update on Emerging Policy Changes. David Hunter. Key Developments. 2 nd white paper – Health lives, Healthy People: Update and way forward (July 2011) Roger Boyle’s departure from DH (July 2011) 2 nd phase of NHS Future Forum (August 2011)

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Update on Emerging Policy Changes

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  1. Update on Emerging Policy Changes David Hunter

  2. Key Developments • 2nd white paper – Health lives, Healthy People: Update and way forward (July 2011) • Roger Boyle’s departure from DH (July 2011) • 2nd phase of NHS Future Forum (August 2011) • 38 Degrees – independent legal assessment of Health and Social Care Bill (August 2011) • Growing opposition from BMA, RCGP, RCN and members of House of Lords (August/September 2011) • Report stage of amended Health and Social Care Bill (September 2011)

  3. The Second White Paper: Highlights (1) • Bold, exciting vision for local authorities • LA role across 3 domains: health protection, health improvement, health service improvement • PHE to be established as an Executive Agency of DH • PHE to support local action, including ‘having a local presence’

  4. The Second White Paper: Highlights (2) • DsPH employed by LAs but joint appointment with PHE • Expectation that DPH will be directly accountable to local authority CEO • ‘Core public health’ offer from LAs to NHS • Reaffirmation of clear line of sight from SoS down to frontline re health protection

  5. Work in Progress: Unresolved Issues • Relationship between LAs and PHE: the makings of central-local tension? • Public health funding: little progress so far • Health premium: not generally welcomed • Public health outcomes framework • Workforce – uncertainty about registration

  6. NHS Future Forum: Second Phase Four workstreams • Public health (focus on NHS involvement) • Information • Education and training • Integration

  7. Continuing Concerns about Health and Social Care Bill • Legal duty of SoS to provide a NHS: does it remain or will it be removed? • Opening up NHS to European competition law and potential privatisation

  8. What Next? • Kill the Bill • Key role by House of Lords - Shirley Williams, David Owen • Push the reforms through regardless of their flaws • Sign up for NELIHWBP cohort 3 to find out how it all ends!

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