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The Changing National Context for Health & Wellbeing

The Changing National Context for Health & Wellbeing. David Hunter Professor of Health Policy & Management 6 th November 2012. School of Medicine Pharmacy & Health. Recent Transactional Issues. Roles and responsibilities of DsPH in local government

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The Changing National Context for Health & Wellbeing

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  1. The Changing National Context for Health & Wellbeing David Hunter Professor of Health Policy & Management 6th November 2012 School of Medicine Pharmacy & Health

  2. Recent Transactional Issues • Roles and responsibilities of DsPH in local government • Public Health England takes shape: new senior appointments • Using evidence in local government: NICE research briefings for local authorities • House of Commons Communities & Local Government Select Committee’s inquiry into the role of local authorities in health issues School of Medicine Pharmacy & Health

  3. Big Transformational Issues • Impact of government’s welfare reforms • Meeting tomorrow’s public health challenges: can problems be solved by guidelines or through tackling problems of modernity? • The end of local government? School of Medicine Pharmacy & Health

  4. Communities & Local Government Committee: local authorities & health inquiry (1) Terms of inquiry • Introduction of a public health role for councils • Adequacy of preparations for the new arrangements • Objectives of the new arrangements and how their impact can be measured • Intended role of HWBs in coordinating the NHS, social care and public health at local level • How local authorities can promote better public health and ensure better health prevention with the link to sport and fitness, wellbeing, social care, housing, education School of Medicine Pharmacy & Health

  5. Communities & Local Government Committee: local authorities & health inquiry (2) Terms of inquiry • Barriers to integration, including issues in multi-tier areas • How the transfer to local authorities of the frontline health protection role and the creation of PHE will affect resilience arrangements at local level • Accountability of DsPH • Financial arrangements underpinning local authorities’ responsibilities, including ring-fencing of budgets and how the new regime can link with the operation of Community Budgets School of Medicine Pharmacy & Health

  6. An Audience with Duncan Selbie Issues for discussion • How does he view the relationship between PHE and local government – 2 different cultures; PHE still part of DH and command and control culture? • Isn’t there a tension between PH in local government and the need for a system that operates to common standards and covers whole populations? • Does public health have a future in the NHS? • Is a fragmented PH workforce a risk under the new arrangements? • Would he like to elaborate on his comment that the NHS has failed public health for 40 years? Why was this? Was it a failure of leadership? School of Medicine Pharmacy & Health

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