School of Medicine & Health The Changing National Context for Health and Wellbeing David Hunter.

Slides:

Advertisements

Similar presentations

NHS Future Forum Event slidepack. The next phase for the NHS Future Forum The Prime Minister and Secretary of State for Health have announced that the.

Advertisements

Understanding the NHS reforms Jo Webber, Deputy Policy Director 20 th March 2012.

Dignity Matters Jamie Rentoul, designate Director of Regulation & Strategy Care Quality Commission 25 November 2008.

The Health Background Britain has amongst the worst levels of obesity in the world. Smoking claims over 80,000 lives a year. 1.6 million people are dependent.

Regional Accountability Forum February outcome context practice objectives Reflections on council health scrutiny in 2013 Council health scrutiny.

Equity and excellence: Liberating the NHS. Will Blandamer Director, GM Public Health Network

1 Shaping Health and Wellbeing in Yorkshire and Humber: National Policy context Martin Gibbs Health Inequalities Unit Department of Health 1 February 2012.

Liberating the NHS HealthWatch DH GATEWAY REF

School of Medicine, Pharmacy & Health The Changing Policy Landscape: Reflections and Looking to the Future Presented by David Hunter Professor of Health.

Healthy People, Healthy Lives Our strategy for public health in England.

Healthy People, Healthy Lives Our strategy for public health in England Transparency in Outcomes Funding and Commissioning routes for public health.

School of Medicine & Health Update on Emerging Policy Changes: what they mean for health and wellbeing David Hunter.

Julian Mallinson NHS Leicestershire County and Rutland

Healthy Lives, Healthy People: Our Strategy for Public Health in England The White Paper in a nutshell.

National Update: The information revolution and the 2012 Caldicott Review Simon Richardson – Information Rights Manager.

The NHS White Paper A system not structure Outcomes focused Robust Quality & Economic regulation Empowered professionals in autonomous providers.

GP commissioning consortia Dr Richard Holmes GP Consortia Transition Lead NHS Bournemouth and Poole.

The future of the NHS in North Central London Islington Voluntary Sector Health Network 18 January 2011 Jacqueline Firth Engagement Manager, NHS Islington.

North East Leading Improvement for Health and Wellbeing Programme Masterclass 19 April 2012 Ginny Edwards, Head of Learning Network for health and wellbeing.

Healthy Lives, Healthy People Our strategy for public health in England.

School of Medicine & Health Update on Emerging Policy Changes David Hunter.

School of Medicine & Health What’s Hot? David Hunter.

Driving the HCAI agenda, Widening the net Gaynor Evans.

Healthy Lives, Healthy People Our strategy for public health in England Funding and commissioning routes Lucinda Cawley Consultant in Public Health | Associate.

System changes & impact on the NHS Nigel Edwards John.

NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands Douglas Smallwood Clinical Commissioning.

Welcome Health and Wellbeing Boards & Strategies Facilitated by Rachel Harris National Expert Advisor CfPS.

Y O U R C O U N C I L Medway Local Healthwatch Councillor David Brake Portfolio holder Adults services.

Equality and Excellence: Liberating the NHS Ian R Cumming 12th July 2010.

∂ School of Medicine & Health. The Changing National Context Presented by David Hunter Professor of Health Policy and Management 13 th November 2012.

Click to edit Master title style Click to edit Master subtitle style Risks and Opportunities in the new Public Health System Dympna Edwards Deputy Regional.

Department of Health The Role of the DPH and Joint Strategic Needs Assessment George Leahy Head of Public Health Development Department of Health PUBLIC.

1 The best possible health and well being for people in Lewisham Healthy Lives, Healthy People Strategy for Public Health in England November 2010 Jane.

Public Health In Transition

Health Overview Policy and Scrutiny Panel Update on Health Reform Proposals James Foster North Somerset Council.

Your Ambulance Service Foundation Trust Consultation.

Wessex LETB The Changing Landscape Paul Holmes, Managing Director.

Post Liverpool Care Pathway Arundel: 14 th May 2014 Dr Bee Wee National Clinical Director for End of Life Care.

1 Community Budgets Political Leadership Group First Meeting 5 th April 2011.

ARE THERE ANY LESSONS FOR US FROM A ‘CARE TRUST PLUS’? ‘Making Partnerships Work in Health & Local Government’ Peter Melton PEC Chair, North East Lincolnshire.

Healthy Lives, Healthy People Our strategy for public health in England Wendy Meredith Deputy Regional Director of Public Health DH North West 2 March.

Health, Wellbeing and Social Care Scrutiny Committee.

Health & Well-being Boards in Derby City & Derbyshire Derek Ward – Director of Public Health, Derby City Cath Roff, Strategic Director of Adults, Health.

Funding and commissioning routes for public health 1 Healthy Lives, Healthy People Consultation on the funding and commissioning routes for public health.

Building Local HealthWatch Eastern region parent carer forum 20 September 2011 Claire Ogley, Regional Project Lead, HealthWatch Transition.

BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY Neil Revely.

EQUITY & EXCELLENCE ADASS DISABILITIES OCTOBER, 2010 NETWORK.

A View from Hampshire Jonathan Montgomery Chair NHS Hampshire.

HealthWatch Devon: National update Mark Woodcock Head of Engagement NHS South of England.

Local and Strategic View Ann James, Chief Executive NHS Devon Devon Care Training Conference Tuesday 28 September 2010 Westpoint 09:55-10:10am.

The role and design of NHS England. About us NHS England: was established as a special health authority on 31 October 2011 and as an executive non-departmental.

‘Signs for improvement’: policy into practice Iain Armstrong DH Alcohol Policy Delivery Team.

Click to edit Master title style Click to edit Master subtitle style The new public health system our role in improving and protecting health and wellbeing;

The Effects of National Legislation on the Public Health Role of Local Government in England Oslo, December 2015 Professor John Kenneth Davies Centre for.

4 Countries Project: Modernising Learning Disability Nursing Dr Ben Thomas Director of Mental Health & Learning Disability Nursing 16 December, 2011.

Healthier Horizons Developing the Healthcare Workforce: NW Stakeholder Forum 15 th July Chris Jeffries Acting Director of Workforce and Education NHS NW.

Changes in healthcare commissioning Phil Ambler Operations and Information Manager UK Vision Strategy.

NHS Reform Update October Context Health Reform Agenda Significant pace of change Clear focus on supporting the Transition Process At the same time.

Healthy Lives, Healthy People Our strategy for public health in England.

HEALTH AND CARE STANDARDS APRIL Background Ministerial commitment 2013 – Safe Care Compassionate Care Review “Doing Well Doing Better” Standards.

Surrey VCFS Forum Clinical Commissioning Reigate Baptist Church 10 th July 2013 Carol Rowley Patient and Public Engagement Lead East Surrey Clinical Commissioning.

Adult Social Care in 2014 A brief summary of what’s happening CAS Health and Social Care Forum 29 January 2014.

Local Education and Training Boards Tim Gilpin Director of Workforce and Education NHS North of England.

One Nottingham Lunchtime Learning Public Spending Cuts.

Mark Lobban Engaging Stakeholders in the New Joint Commissioning Arrangements for Children and Young People.

Local leadership of health reform Alyson Morley Senior Adviser LGA 21 November

The Transformation of Social Care Janet Walden 13th November 2008.

Public Health and Housing Tim Madelin Senior Public Health Strategist, NHS Tower Hamlets.

Healthy Lives, Healthy People

Healthy Lives, Healthy People A Strategy for Public Health in England

Presentation transcript:

School of Medicine & Health The Changing National Context for Health and Wellbeing David Hunter

School of Medicine & Health New Public Health System (1) A tale of two parts Return of public health locally to local government:  Natural home or poisoned chalice? Creation of Public Health England at centre:  Renewed focus on public health or loss of independence?

School of Medicine & Health New Public Health System (2) Key drivers ‘Centralisation has failed’ Localism at heart of new system: principle of subsidiarity Professional ownership and leadership Central government focus on emergency preparedness and health protection (HPA) More nudge, less shove ‘Responsibility deals’: working with business

School of Medicine & Health Making it Happen (1) Transfer of DsPH to local government (2013) Health and Wellbeing Boards (early adopters) Health and wellbeing strategy, including JSNA Ring-fenced budgets (2013)

School of Medicine & Health Making it Happen (2) ‘Health premium’ GP consortia Creation of Public Health England (from 2012) NHS Commissioning Board Public health outcomes framework

School of Medicine & Health Will it Ever Happen? NHS Future Forum – pause, listen, report (by early June)  ‘cosmetic, phony, ornamental exercise’ Post local election positioning by political parties Bill’s fate may lie with the House of Lords

School of Medicine & Health Are the Public Health Changes Unravelling? Fate of the Health and Social Care Bill hangs in the balance Secretary of State for Health is being sidelined Responsibility deals have not been a success to date BMA call for public health to remain part of the NHS FPH want PHE to be a special health authority independent from DH

School of Medicine & Health Known Unknowns Changing nature of DPH role, new culture, working in a politically-led locally based organisation: elected members make decisions Centre-local balance unclear Managing dual accountability: to local authority, and to Secretary of State in DH Ring-fencing: aid or barrier? Links with GP consortia: GPs not strong on public health Future of public health in NHS

School of Medicine & Health More Known Unknowns Health and Wellbeing Boards: how effective will they be? Balance between tackling SDH and addressing the ‘nudge’ agenda: where does Marmot figure? Implications for NICE’s public health role: role in local government Future of Public Health Observatories Impact of localism and Big Society Impact of spending cuts

School of Medicine & Health Unknown Unknowns Performance management: hands-on DH (PHE) versus hands-off DCLG and DfE Balance between must-dos and may-dos in conditions for public health grant Local public health budget equal to or greater than the public health grant? Resourcing of public health team beyond the DPH New breed of DsPH - new titles, skills

School of Medicine & Health More Unknown Unknowns ?