1. Kate Lees – Consultant in Public Health Kate.lees@surreycc.gov.uk
Public Health East Surrey CCG Clinical Executive Team Thursday 11th December 2014
Kate Lees – Consultant in Public Health

2. Session Objectives
To provide an overview of the role of Public Health in Local Authorities
To summarise the mandatory Public Health functions delivered in Surrey
To summarise the non-mandatory Public Health functions delivered in Surrey

3. Role of Public Health in Local Authorities
Work with partners (CCGs, Community Safety Partnerships) to undertake Joint Strategic Needs Assessments (JSNAs)
Develop Joint Health and Wellbeing Strategies
JSNAs and JHWSs must inform local authority commissioning plans

4. Public Health Grant From Secretary of State to upper tier LA.s
Ring-fenced until 2015/16 and can be used to:
Significantly improve health and wellbeing of local populations
carry out health protection and health improvement functions delegated from the Secretary of State
reduce health inequalities across the life course, including within hard to reach groups
ensure the provision of population healthcare advice

5. Role of Public Health in the Local Authority - Mandatory services
Ensure there are plans in place to protect the health of the population
Ensuring NHS commissioners receive the public health advice they need
National Child Measurement Programme
NHS Health Check assessment
Appropriate access to sexual health services

6. Role of Public Health in the Local Authority – action on
tobacco control
alcohol and drug misuse services
obesity and community nutrition initiatives
increasing levels of physical activity in the local population
dental public health services
public mental health services
accidental injury prevention
population level interventions to reduce and prevent birth defects
behavioural and lifestyle campaigns to prevent cancer and long term conditions
local initiatives on workplace health
local initiatives to reduce excess deaths as a result of seasonal mortality
promotion of community safety, violence prevention and response
local initiatives to tackle social exclusion
supporting, reviewing and challenging delivery of key public health funded and NHS delivered services such as immunisation programmes

7. Public Health Outcomes Framework

9. Surrey CC Public Health Service Plan Priorities
Lead Health & Wellbeing Prevention Strategy
Support CCGs to develop prevention plans
Deliver Public Health Offer to CCGs
Lead metrics for Better Care
Re-commission integrated sexual health service
Strategic review of JSNA
Collaborate with CCGs & others to prioritise health care pathways, programmes & systems

10. Public Health advice to NHS
Memorandum of Understanding agrees responsibilities of CCG and PH and includes e.g.:
Lead health improvement partnership working between CCGs, county and district councils, other partners and residents
Ensure that plans are in place to protect the health of the population from the full range of threats and emergencies
Provide health protection advice to each CCG and support the management and review of infection control incidents.
Support understanding of needs of its local population and the actions required to address the main priorities.
Public health advice on the development of care pathways, service specifications and quality indicators.
Support the prioritisation work (TNRF / IFR)

11. Examples of PH advice given to ES CCG
Health Profiles
Evidence reviews –
eg social prescribing
Priorities committee

12. Priorities/ Change Programme
Our core purpose is to improve patient outcomes by working collaboratively with all of our stakeholders to deliver health services differently. We will be bold in our plans and celebrate our achievements. We will commission safe efficient care for our population.
Context
Strategy
Priorities/ Change Programme
Outcomes
Change Enablers
Key Stakeholders
Everyone Counts: Planning for Patients 2014/15 to 2018/19 NHS Outcomes Framework NHS Constitution and Mandate Quality Focus Aging population with multiple Long Term Conditions
1. Increase efficiency and productivity with all of our providers through robust contract management
Urgent Care Pathway - Increased access to primary care for urgent care - Paediatric urgent care - Improved hospital discharge
Increase the number of people having a positive experience of hospital care, care outside of hospital, in general practice and in the community
Contract Management Variations to existing contracts IM&T Strategy Better Care Fund
Communications
Patients Public Surrey County Council NHS England Surrey and Sussex Healthcare NHS Trust Surrey and Borders Partnership NHS Foundation Trust First Community Health and Care South East Coast Ambulance Service NHS Foundation Trust East Surrey CCG Governing Body and Practices Commissioning Committee Third Sector including Dorking Healthcare
2. Deliver recognised best practice to ensure a consistently high quality National Health Service
Health Hubs managing integrated care: - Prevention Programme
- Alcohol - Stroke - Cardiovascular Disease - Neurology - Gastro-intestinal - MSK/ T&O - Respiratory - Genito- urinary - Diabetes
Reduce the number of potential years of life lost due to conditions amenable to healthcare Reduce the amount of time people spend avoidably in hospital Increase the proportion of older people living independently at home following discharge from hospital Increase the number of people having a positive experience of hospital care, care outside of hospital, in general practice and in the community
Clinical Care Pathway Redesign Contract Management and Variations Outcome Based Commissioning IM&T Strategy Better Care Fund Customer Care Programme Workforce Review Estates Review
3. Transform local services so that we become one integrated health service
Mental Health and Learning Disabilities - IAPT - Dementia - Children's services - Review contract and service specification
Increase IAPT referrals to 15% Achieve IAPT recovery rate of 50% by March 2015 Increase dementia diagnosis rate to 66% by March 2015 Reduce the number of potential years of life lost due to conditions amenable to healthcare Increase the number of people on CPA in settled independent accommodation and in employment Increase provision of urgent services for children with mental health conditions
Clinical Care Pathway Redesign Contract Management and Variations Outcome Based Commissioning IM&T Strategy Better Care Fund Customer Care Programme
4. Drive the use of innovative technology to improve commissioning, quality of care and patient experience
Improve Patient experience: - Accessible care - Improved resource and information for self care and self-management - Customer Service approach - Patient input and feedback
Increase accessibility of care in primary care Increase the number of patients able to self care and self manage Long Term Conditions
IM&T Strategy Customer Care Programme Primary Care Strategy
5. Improve patient experience
6. Develop a culture based upon ambition and delivery that all staff are proud to be a part of
Organisation Development - OD programme for all - Shared Vision - Opportunity optimisation
Develop mechansims to monitor staff satisfaction
OD Programme
CCG plan on a page

13. Public Health Commissioned Services
Substance misuse (including Alcohol)
Sexual Health
Tobacco Control (Stop Smoking)
Health Checks
School Nursing
Obesity, nutrition and physical activity
Mental Health Promotion

14. ES CCG Team around the place (approx 20% of work)
Kate Lees – PH Consultant – CCG lead
Helen Harrison - PH Principal – Community Safety Partnership lead
Maya Twardzicki– PH Lead – Tandridge lead
Tinashe Jonga – PH Lead – Reigate & Banstead lead
Marcus Butlin & Brendan Donaghy – PH Analysts
Jane Semo – PH Dev. Worker

15. Review of objectives
To provide an overview of the role of Public Health in Local Authorities
To summarise the mandatory Public Health functions delivered in Surrey
To summarise the non-mandatory Public Health functions delivered in Surrey