1. The ‘New’ Public Health System

2. A new system...

3. Public Health in Lancashire Public Health teams in: Lancashire County Council Public Health England (Lancashire & Cumbria) NHS England (Local Area Team)

4. Public Health in LCC Public Health is part of the Adult, Community Services and Public Health Directorate –Making a difference to the health of Lancashire’s citizens –Public health is everybody’s business

5. Our vision is… …that Lancashire's citizens, communities and organisations are healthy and resilient By making sure that we have an effective local public health service we can support people's wellbeing now, and help to develop a healthier future for everyone

6. We are responsible for… Protecting and improving the health of the local population to achieve healthy life expectancy at all stages of the life course Health & Wellbeing Board

7. Delivering the H&W Strategy

8. Aims of Strategic Action Plan (draft) By 2020, achieve measurable improvements in healthy life expectancy and inequalities, health and social care experience and reduce costs

9. We are also responsible for… Ensuring NHS Commissioners receive the public health advice they need Delivering the National Child Measurement Programme Commissioning NHS Health Checks Commissioning comprehensive open access Sexual Health Services

10. Clinical Commissioning Groups Responsible for commissioning: –Urgent and emergency care –Elective hospital care –Community health services (e.g. rehabilitation, speech and language therapy, continence services) –Maternity and newborn services –Mental health services

11. Clinical Commissioning Groups Chorley & South Ribble East Lancashire Fylde & Wyre Lancashire North Greater Preston West Lancashire

12. Health & Wellbeing Partnerships Chorley & South Ribble –Denise Johnson, South Ribble Council East Lancashire –Cllr Julie Cooper, Burnley Council Fylde & Wyre –Dr Tony Naughton, F&W CCG Lancashire North –Dr David Wrigley, North Lancs CCG Greater Preston –Gulab Singh, Lancashire County Council West Lancashire –Cllr David Sudworth, West Lancs Council

13. Our 2013/14 priorities are… Priority 1: Establish and deliver –Mandated services –Statutory responsibilities –Substance misuse services Priority 2: Improve the health of new and expectant families, children and young people

14. Our priorities continued… Priority 3: Improve mental health and wellbeing Priority 4: Reduce incidence of, and mortality from, long term conditions Priority 5: Contribute to economic growth and development Priority 6: Address health inequalities in Lancashire

15. What we do… Directly commission public health services Provide public health leadership and support to NHS Commissioners, LCC, Districts, the Third Sector and other partners Lead the development of the Health and Wellbeing Board Develop new relationships with Clinical Commissioning Groups, Public Health England, to improve health and well being outcomes Contribute to the development of national policies

16. How we are organised… Largely along three domains of Public Health County-wide functions Three localities

17. Our Three Domains of Public Health Health Protection & PolicyDeborah Harkins Health ImprovementMike Leaf Population Healthcare Dr Sakthi Karunanithi

18. Countywide functions Do it once and do it well approach Public health knowledge and intelligence Health protection Business management, planning and governance Influencing county based wider determinants of health Commissioning of health improvement and wellbeing services Clinical leadership and governance Performance management and improvement Locality development Liaison with LCC Cabinet/ Executive and other LCC directorates Workforce development and training

19. Localities North / Central / East Provide Public Health leadership and support to CCGs, district level partnerships and district councils Teams that work across the three domains of public health Largely align with LCC locality footprints

20. Specialists in Public Health Central –Gulab Singh (gulab.singh@lancashire.gov.uk) East –Dianne Gardner (dianne.gardner@lancashire.gov.uk) –Bob Harbin (bob.harbin@lancashire.gov.uk) North –Jim Mechan (jim.mechan@lancashire.gov.uk) –Clare Platt (clare.platt@lancashire.gov.uk)

21. We are taking new approaches Use of community assets approaches Integrated commissioning Generic skills with matrix working on public health priorities Greater focus on wider determinants, delivering improved outcomes and reducing inequalities Aligning with the shifts envisaged in the Health and Wellbeing strategy

22. Synergy with Supporting People Outcomes Economic Wellbeing Enjoy and Achieve Be Healthy Stay Safe Making a Positive Contribution

23. Any questions?

24. Specialist in Public Health clare.platt@lancashire.gov.uk Tel: 07876844627 clare.platt@lancashire.gov.uk Clare Platt