1. Salman Rawaf London, 11th August 2010 s.rawaf@imperial.ac.uk WHO Centre Imperial College London Ref: 0308/2010

2. Some slides have been removed. For the full presentation, please contact WHO CC.

3. Public Health is one of the Five Priorities for the New Coalition Government © WHO Centre, London

4. WHO Centre, Imperial College London Public Health Justification for the Change International Comparison:  NHS delivered Poor Outcomes in some areas  High Rate of Mortality Amenable to Healthcare  High Rates of Mortality from Respiratory Diseases  High Rates of Mortality from some cancers  Some of measures of stroke, worst in the developed C  High Rates of acute complications of diabetes  High Rates of avoidable Asthma admissions  Incidence of MRSA is the highest in Europe Justification to refocus Public Health

5. WHO Centre, Imperial College London Concerns:  The potential lack of defined responsibility for the health of geographically--defined populations and communities  The size and scope of the ring-fenced public health budget  The omission of healthcare public health skills, knowledge and responsibilities from the Public Health Service  The apparent omission of health promotion public health skills, knowledge and responsibilities from the Public Health Service

6. WHO Centre, Imperial College London Opportunities:  Strong public health service if we have strong leadership  Looking fresh at population needs  Evidence-based Public Health  Service Integration (?HPA)  LA’s Role (Medical Officers Role)

7. Thank You