1. Partnership working on health and wellbeing priorities for London Dr Paul Plant Deputy Director Health Improvement Public Health England (London) London Public Health Knowledge & Intelligence Network

2. Agenda 1.Strategic challenges 2.The London context 3.Initial work developing a London prospectus 4.Building capacity: patch based working with functional expertise 2London Public Health Knowledge & Intelligence Network

3. What are we trying to achieve? Ingredients: Public Health Outcomes Framework ‘ focus on outcomes’ Global burden of disease ‘need to get better at prevention’ Marmot ‘its about the social determinants and the gradient’ Life course approach ‘health related behaviours are linked and people’s experiences are partly structured this way and though place’ Changing the narrative about health and wellbeing Working with the grain of a new system 3London Public Health Knowledge & Intelligence Network

4. London Context We have 25 DsPH 6 vacancies Other staff in place Ring fenced grant known for 2 years: range of ‘winners’ and ‘losers’ Contracts safely novated, but Boroughs now wanting to review All HWBBs have draft strategies, but many with revisit London Health Board met in May Move now from transition to transformation 4London Public Health Knowledge & Intelligence Network

5. Protecting London from harm… Our own work and discussions with stakeholders have suggested we need to work with partners to: Understand how the new system can tackle TB and the on-going isoniazid resistant outbreak in North London Support borough colleagues take up their role dealing with HIV/AIDS and sexually transmitted infections Scope how we can address the continued low vaccination coverage in many of our communities, building on the significant improvements in recent years Address imported infections such as typhoid, pandemic influenza and malaria Introduce new vaccines: rotavirus, shingles and extension of the flu vaccine to children Develop a strategic approach with national colleagues to addressing the growing problem of antimicrobial resistance 5London Public Health Knowledge & Intelligence Network

6. PHE London will support boroughs by: Helping new local leads in their understanding of the alcohol and drug treatment system Providing co-designed support to those partnerships whose successful completion for opiate users are falling behind Helping them enhance their links between treatment services and a wide range of social, offender related, mutual aid and recovery organisations Improving the recovery orientation of the workforce and treatment system with a particular focus on primary care Working effectively with NHS England to support drug treatment in prisons Supporting the roll out of identification and brief advice for alcohol users across London Supporting the increased availability of alcohol liaison nurses and the improvement of local alcohol treatment 6London Public Health Knowledge & Intelligence Network Supporting local action on drugs & alcohol

7. Our priorities for this year include providing: Public health advice and support to the management of Individual Funding Requests (IFRs) for specialist services. This includes undertaking or scoping literature reviews as necessary and liaising with IFR Public Health Leads in the other Regions to share information and good practice so as to avoid duplication and ensure consistency with the NHS England’s ethical framework. Input into the national Clinical Reference Groups who are developing products to support the commissioning of specialised services (e.g. service specifications and commissioning policies). 7London Public Health Knowledge & Intelligence Network Advice to health commissioning

8. Supporting local action on health and wellbeing Local government teams have asked for help with: Outstanding issues associated with the transition of public health to boroughs (e.g. access to patient identifiable information) Providing best practice information for when they review or renew contracts (e.g. evidence-based service specifications) Responding to calls from local authority colleagues requesting public health support in areas with which they are not familiar (e.g. input into licensing decisions) Developing frameworks for translating their public health priorities into local authority areas of activity (e.g. how does promoting physical exercise and mental health translate into urban planning?) Supporting the DsPH new leadership group led by Jeanelle DeGruchy and Andrew Howe with its joint programme 8London Public Health Knowledge & Intelligence Network

9. Supporting local action on health and wellbeing Specific areas that are priorities for London boroughs and Health and Wellbeing Boards, and where they may need support, include: Health inequalities: responding to the economic recession Public health aspects of housing, transport, environmental issues and other wider determinants of health Sexual health and the work boroughs are doing collectively on HIV prevention Obesity, physical activity and capturing the legacy from the 2012 Games Mental health and wellbeing Alcohol Tobacco control Oral health Roll out of the NHS Healthchecks programme 9University of East London

10. Supporting the NHS in London on screening and immunisation Dental public health Developing the public health workforce Developing the evidence base London-wide responsibilities 10London Public Health Knowledge & Intelligence Network Other work includes….

11. A productive relationship between PHE and local government will be achieved not just in terms of what we provide but how. PHE will therefore work with London boroughs in a way that ensures: PHE provides evidence of good public health practice, not policy documents Major pieces of work are co-designed with DsPH before they are begun Outputs can be tailored to individual local circumstances and cover economic impacts We do not assume that all boroughs are the same, have the same priorities or delivery mechanisms There is a clear timetable of when materials are to be made available so local teams can plan their own work Advance notice if possible of major announcements to be made by PHE that are of relevance to local practitioners 11London Public Health Knowledge & Intelligence Network Forming strong links with local government

12. The London Executive team 12London Public Health Knowledge & Intelligence Network Regional Director Yvonne Doyle Health Improvement & NW London Paul Plant Health Protection & NE & NC London Deborah Turbitt Specialist Services & South London Marilena Korkodilos System Delivery Pui-Ling Li Drugs & Alcohol Alison Keating Communications Tycie West GLA Health Lead Helen Walters Business Manager Rachel MacLehose Chief of Staff Peter Counsell

13. Useful contacts… 13London Public Health Knowledge & Intelligence Network Director PHE LondonYvonne Doyle – 020 811 7401 Deputy director health improvement &Paul Plant – 0207 811 7410 North West London patch lead Deputy director health protection &Deborah Turbitt – 0207 811 7100 North East & North Central London patch lead Deputy director specialist public health services & Marilena Korkodilos – 0207 811 7412 South London patch lead Deputy director systems deliveryPui-Ling Li – 0207 811 7413 Head of drugs and alcohol Alison Keating – 0207 811 7442 Head of health, GLA (seconded)Helen Walters* – 0207 983 4005 Chief of staffPeter Counsell – 0207 811 7402 London communications managerTycie West – 020 7811 7243 Email: firstname.surname@phe.gov.ukfirstname.surname@phe.gov.uk * Helen.Walters@london.gov.uk