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The New Public Health System Dr Alison Barnett -Director of Public Health 24 th January 2012

The New Public Health System Dr Alison Barnett -Director of Public Health 24 th January 2012. Public Health White Paper. Public Health White Paper. Why? Significant challenges to public’s health and wellbeing Obesity Misuse of drugs and alcohol Sexually transmitted infections

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The New Public Health System Dr Alison Barnett -Director of Public Health 24 th January 2012

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  1. The New Public Health System Dr Alison Barnett -Director of Public Health 24th January 2012

  2. Public Health White Paper

  3. Public Health White Paper • Why? • Significant challenges to public’s health and wellbeing • Obesity • Misuse of drugs and alcohol • Sexually transmitted infections • Threats from infectious disease • Impact • Health and life expectancy • Economic burden

  4. Government approach • Improve public health by • Strengthened local action • Supporting self esteem and behavioural change • Promoting healthy choices • Changing the environment to support healthier lives

  5. Summary of the Reforms • Local Authorities • Public Health England • NHS

  6. Local Authorities • Lead for • Improving health • Co-ordinating local efforts to protect health • Ensuring health services promote health • Health and Wellbeing Board • Director of Public Health • Putting public health into policies and decisions • Ring fenced public health grant

  7. Local authority mandatory services Appropriate access to sexual health services Steps to be taken to protect the health of the population, in particular giving the LA a duty to ensure there are plans in place to protect the health of the population. This will include outbreaks, emergencies, immunisation, screening and infection control in acute providers Ensuring NHS commissioners receive the public health advice they need The National Child Measurement Programme NHS Health Check assessment

  8. Commissioning responsibilities Tobacco control and smoking cessation services Alcohol and drug misuse services Public health services for children and young people aged 5-19 and in the longer term all public health services for children and young people Interventions to tackle obesity and nutrition initiatives Dental public health services Accidental injury prevention Population level interventions to reduce and prevent birth defects Supporting, reviewing and challenging delivery of key public health funded and NHS delivered services such as immunisation and screening programmes Comprehensive sexual health services The local authority role in dealing with health protection incidents, outbreaks and emergencies Public health aspects of local initiatives to tackle social exclusion

  9. Public Health England • A new executive agency • Deliver services • Health protection • Public health intelligence and information • Public services – through social marketing and behavioural insight • Lead for public health • Workforce development • Dental Public Health Specialist Public Health

  10. NHS • Continue to play a full role in • Providing care • Tackling inequalities • Ensuring every clinical contact counts

  11. Clinical Commissioning Groups • Commission health services for the local population • Eg maternity, paediatrics, community paediatrics, therapies, CAMHS

  12. NHS Commissioning Board Will commission: • Antenatal and newborn screening programmes • Immunisation programmes • PHE to ensure specialist advice is provided for screening and imms • Specialist services • Primary care • Public health funded services for under 5s eg HVs, FNP until 2015 • Child Health Information System • SARCs

  13. Public Health Outcomes Framework Focus on achieving positive health outcomes and reducing health inequalities Not process targets, not for performance management Covers wider determinants of health over the life course Aligns with NHS and adult social care OFs Health Premium to incentivise action

  14. Three parts

  15. Two high-level outcomes • Increased healthy life expectancy • Reduced differences in life expectancy and healthy life expectancy between communities

  16. Domain 1: improving the wider determinants of health • Children in poverty • School readiness (placeholder) • Pupil absence • First-time entrants into the youth justice system • 16-18 year olds not in education, employment or training

  17. Domain 2: Health improvement • Low birth weight of term babies • Breastfeeding • Smoking status at time of delivery • Under 18 conceptions • Child development at 2-2.5 years (place holder) • Excess weight in 4-5 and 10-11 year olds • Hospital admissions caused by unintentional and deliberate injuries in under 18s • Emotional well-being of looked-after children (place holder) • Smoking prevalence in 15 year olds

  18. Domain 3: Health protection • Chlamydia diagnoses (15-24 year olds) • Population vaccination coverage

  19. Domain 4: healthcare public health and preventing premature mortality • Infant mortality • Tooth decay in children aged 5

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