School of Medicine, Pharmacy & Health The Changing Policy Landscape: Reflections and Looking to the Future Presented by David Hunter Professor of Health Policy & Management 1 st July 2014

∂ School of Medicine, Pharmacy & Health

∂ Concluding Reflections (1) Is the glass half-empty?  Demise of the public health profession as we know it: future of specialist-practitioner-wider workforce paradigm at risk  End of DsPH as we know them  Emergence of a divided and fragmented workforce split between different cultures  Failure to recognise and invest in public health skills training  Devaluing the evidence base in political world of local government  Time of austerity: public spending cuts

∂ School of Medicine, Pharmacy & Health Concluding Reflections (2) Is the glass half-full?  Transform the way public health is conceived and delivered  Break away from the shackles of a biomedical model and embrace a social model: from a deficit to an assets-based approach  Develop new skills and competencies – not a case of preserving the old and familiar  Embed new leadership style focused on influencing others engaged in health improvement and wellbeing  Use of ring-fenced public health budget to lever in resources from elsewhere

∂ School of Medicine, Pharmacy & Health Raiding the Public Health Budget  Public health's voice drowned out in local government  Many LAs used PH funds to support wider Council services vulnerable to cuts  Dilution of PH - 'robbing Peter to pay Paul'  PH grant 'a resource to be raided' by LAs  Removal of PH functions from NHS will weaken PH  PH able to exert more influence in LG than in NHS  Reviewing where money has been spent and doing things differently is welcome BMJ March 2014

∂ School of Medicine, Pharmacy & Health Recent Policy Announcements

∂ School of Medicine, Pharmacy & Health Unfinished Business (1)  Where is public health on the national agenda?  Statins  Assault on sugar  Plain Packaging  E-cigarettes

∂ School of Medicine, Pharmacy & Health Unfinished Business (2)  Health and Wellbeing Boards: are expectations too high?  Integrated care  Better Care Fund

∂ School of Medicine, Pharmacy & Health Unfinished Business (3)  How is Public Health England being viewed?  Lacks independence  Must be credible and authoritative

∂ School of Medicine, Pharmacy & Health

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∂ School of Medicine, Pharmacy & Health WHO Europe Health 2020

∂ School of Medicine, Pharmacy & Health Key Principles Underpinning Health 2020  Renewed emphasis on public health  Health is wealth  Health inequalities must be redressed  Health systems are more than just health care  Whole of society and whole of government approaches needed  Systems thinking approach adopted to analyse problems and devise solutions  From analysis to supporting delivery