The case for change

1. Public Health EnglandDr Ruth Hussey OBE Director, Public Health England Transition Team13 May 2011

3. The case for change • Disease patterns are changing: • we are living longer – but with significant inequalities in life expectancy and ill health • But there are unresolved challenges, influenced by our lifestyles and social issues: • Circulatory diseases, respiratory diseases and cancers • Mental ill-health • impact of long-term conditions • New health threats (and persistent old ones) Time to change our approach to public health

4. A radical new approach • Owned and driven bylocal communities • Addressing the root causes of poor health and wellbeing • Holistic approach to wellness • Reaching those who need the most support • Professionally-led public health service, focused on evidence • Strengthened protection against health threats • Prevention embedded within the NHS

5. Public Health England • The new integrated national public health service • Part of the Department of Health • Bringing the HPA, NTA, observatories, cancer registries and some DH and SHA functions into a new organisation • Leadership nationally on key issues and functions • Maintain a strong relationship with local government, the NHS and a range of stakeholders • DsPH jointly appointed to PHE and their local authority

7. DH and Public Health England transition governance Departmental Board Chair: Secretary of State DH Executive Board Chair: Una O’Brien NHS Management Board Transition Programme Board Chair: Richard Douglas DH and Local Government Programme Board David Behan & Anita Marsland PHE: Transition Executive Team Anita Marsland PHE: Programme Board Anita Marsland Vice Chair: Justin McCracken PHE transition team and work programmes

8. Public Health England: transition team • Work programmes and teams: • accountability and governance • organisational design • information and intelligence • Professional leadership • HR and workforce • finance, estates, IT, procurement • communications and engagement

9. White Paper consultation and response • Consultation on the white paper closed on 31 March. • Successful engagement process: • Over 2,100 written responses, many substantive and detailed, offering new insights and thoughts • DH held 60 consultation events and supported over 100 more • We are preparing a response document – a ‘command paper’ – covering all public health consultations. This will set out direction of travel and next steps for transition. Due in the summer.

10. Listening exercise and the NHS Future Forum • Natural break in the Bill process to pause, listen, reflect on and improve NHS modernisation plan. • Recognise there are some questions and concerns about the modernisation plan and mechanics of putting this plan in place • NHS Future Forum to bring together patient representatives, clinicians and others to listen and report back to the Government. • Dr Frank Atherton, President of the ADPH, is a member of the Forum. Engagement, learning and adaptation at the heart of effective implementation – not a one-off

11. The listening exercise: impact on public health reforms • NHS Future Forum will report to Government in the next few weeks. • All statutory changes due to take place in April 2012 will now take place no earlier than July 2012, including: • Assumption of full powers of PHE • Transfer of functions from arms length bodies, including HPA & NTA • Abolition of SHAs • Creation of shadow bodies and appointment of senior staff to these organisations delayed to allow time for this engagement process • Proposed timelines for GP consortia to take control of commissioning remains at April 2013, as does statutory powers of Health and Wellbeing Boards.

12. An overview of implementation An updated view of implementation – to July 2012 2012 2011 Jan April July Oct April July Preparation Building new organisation Live PHE Agree framework doc, PHE top structure, locations COO and Senior mgt team in place, so can map all future staff into new structure Establish the new PHE PHE structure design Build PHE business plan, prep for 2011/12 PH WP consultation PHE Framework doc Recruit/ Appoint PHE COO & Exec Team People PHE “live” Write People trans’n policies Map all staff to new structure Staff consultation re mapping Plan /manage people & HR transition – DH, NHS, HPA, NTA, PHOs Finance, Estates, assets, infrastructure HPA, NTA, PHOs staff and assets transitioned into PHE Develop transition plans for HPA, NTA, PHO Manage delivery of transition of HPA, NTA, PHOs to PHE (finance, systems, estates, assets) Establish finance processes, systems, arrangements, allocations for new PHE PH Due diligence Agree locations Agree req’d IT changes Plan, prepare accommodation and info systems Develop new PH System Develop op’g model for system, PHE, link to LAs Plan people/ budget transition to LAs Work with Las to transfer PH responsibilities to LAs Develop PH Budget, Establish shadow PH budgets for LAs Establish PH Budget

14. Contact details and further information • NHS Future Forum and listening exercise: how to share your views: www.dh.gov.uk/healthandcare • Contacting the Public Health England Transition Team email: PublicHealthEngagement@dh.gsi.gov.uk • Information about the overall modernisation process (and where publications are letters are stored): http://healthandcare.dh.gov.uk/