1. Assessing Need Effectively in a Time of Transition Dr Paul Plant Deputy Regional Director of Public Health London

2. Content Changing Context 2011 and Beyond Broader role for needs assessment

3. Transition to New Model of Health Improvement Building from achievement Architecture of the future –Liberating the NHS key building blocks –Rumsfeld territory, but with increasing clarity –No sudden blue print PH White Paper more detail Consultations on key elements in New Year –Patchwork of Commissioning Double transition

4. Public Health Transition Advisory Group Vision: –Develop a system fit for a world city –Tailored to needs of Londoners Role: –London voice in the reforms –Advising on transition arrangements Workstreams: –PH service; Health improvement; Health intelligence; PH provision; –Working with other transition groups (eg GP commissioning)

5. Central Role of Needs Assessment Move to outcomes focus Stronger patient and community involvement Devolved decision making Patchwork in London of different commissioning arrangements

6. Key Elements Approach focused on: Outcomes - crime reduction and improved health Democratic accountability Service user & community involvement Prevention Integration –running throughout treatment journey and beyond –made through structured drug treatment Consistency with personalisation & principles in Putting People First