1. Applications of PH Intelligence Introduction and Context Dr Jean Robinson NHS Nottingham City

2. 1990 Dear old Ken Clarke dreamed up the purchaser provider split and re- organised the NHS Approx 100 Health Authorities were given the NHS budget to purchase health care for populations from hospitals and other providers. Before that – money had gone directly to providers. Public Health was brought into the NHS from local government to help Health Authorities assess the health needs of their populations. Local PH was supported by Health Protection Agency for disease surveillance and Public Health Observatories for regional specialist PH Intelligence support – these were all NHS organisations How we got here

3. Fast forward – the basic principle of purchaser / provider split and PH role remained through: 1999: 100 Health Authorities and 400 + PCGs (Primary Care Groups) – absorbed Community Trusts and became purchasers of hospital care and providers of community care 2001: Health Authorities replaced by 150+ PCTs (Primary Care Trusts) – gradually shed their community health provider role to become commissioner only bodies. Then came the 2010 general election and ….

4. 2010 reforms – by 2013 211 CCGs (Clinical Commissioning Groups) – focus on clinical commissioning for their local populations – accountable to NHS CB Public Health England – Department of Health Health Protection – Independent agency Local Public Health moves to local authorities Local Authorities mandated to provide PH support to CCGs through a core offer PH in LA will also commission some services

6. Todays session A closer look at the methods and processes which can be applied to meet different needs Surveillance – James Hollinshead Health Needs Assessment – Jean Robinson Joint Strategic Needs Assessment – Kristina McCormick Performance Monitoring – James and Kristina Health Equity Audit – Jean Closing