22 May 2006 Ramada Plaza Hotel Wrexham Team Leaders’ Forum 22 May 2006 Ramada Plaza Hotel Wrexham

Functionalities of National Health Organisations Mark Dickinson Director of Operations and Service Development

Staff Consultation 6 staff meetings with Cerilan Rogers attended by 100 staff Other Team meetings Web site Direct comments

Staff Views Universal support for an integrated model of public health No support for transferring provision of any NPHS services to others Significant overlap identified with WCfH Universal support for staying within the NHS

Stakeholder Consultation Direct comments Session at the Stakeholder Forum

Stakeholder Views Support for the integrated public health model Little understanding of the WCfH Room for improvement in NPHS services Health Care Quality domain With Local Authorities National standards

Do You Share the Vision? A national centre for knowledge management, expert advice and information encompassing: Health improvement Health protection Healthcare quality

Vision - Staff Response National ‘resource’ not a ‘centre’ Need to add ‘delivery of services’

Are There Overlaps? Efficiency Effectiveness Value for money

Overlaps – Staff Response Differentiate interface and overlap Substantial overlap with: Wales Centre for Health Training Health intelligence Public health information Some WAG divisions e.g. health improvement Environmental Health

Is There Scope for Further Public Health Integration? Health improvement Health protection Health and social care quality Health intelligence

Integration – Staff Response Strengthen academic links Microbiology services Health intelligence Public communications Training Environmental health

Criteria for Change? Elimination of overlapping remits Clarity of messages and perceptions Critical mass of specialist expertise Value for money Organisational disruption/distractions Clarity of organisational purpose Links with Trusts, LHBs and LAs Ability to deliver Assembly strategy

Criteria – Staff Response Additions: Sustainability Application of consistent standards Resilience Ability to deliver local plans Ability to influence Assembly strategy

Next Steps Initial interview with NPHS – 26 May Development of key questions for written evidence – Mid June Circulation of statements and request for questions/issues – End June Response to final round of questions – 3rd week July

Initial Questions What would you like to come out of the review?

Outcome - Response Integrated model of public health National service delivered locally One source of expert public health advice Access to greater expertise and resource Health improvement, health protection and health care quality underpinned by health intelligence

Outcome – Response (2) Need to stay within the NHS Easier to work with partners Easier to obtain information Easier to recruit and keep staff Security of staff terms and conditions

Outcome – Response (3) Need to build public health capacity to meet huge agenda Establishment of a Public Health Advisory Board Need to reduce number of short term projects/funding streams

Organisational Models Maintain organisations with clarified roles Establish single public health organisation Within WCfH/ASPB Part of Velindre NHS Trust Single, new Public Health Trust Reconfigured Velindre NHS Trust Special Health Authority

Scoring Criteria Elimination of overlapping remits Clarity and consistency of messages Critical mass of specialist expertise Value for money Organisational disruption/distractions Clarity of organisational purpose Links with Trusts, LHBs, LAs etc Delivery of Assembly strategy/Local Plans

Scoring Criteria (2) Sustainability Application of consistent standards Resilience Ability to influence Assembly strategy

Conclusions Opportunity to strengthen the Welsh model for an integrated national public health service Strong position of the NPHS Engagement of staff and stakeholders in developing our response Must not take our eyes off the ball!

Conclusions The better we are in delivering our services, the more we will be able to shape the way they are delivered in future