School of Medicine & Health What’s Hot? David Hunter.

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Presentation transcript:

School of Medicine & Health What’s Hot? David Hunter

School of Medicine & Health Are the Public Health Changes Unravelling? Fate of the Health and Social Care Bill hangs in the balance Secretary of State for Health is being sidelined Responsibility deals have not been a success to date BMA call for public health to remain part of the NHS FPH want PHE to be a special health authority independent from DH

School of Medicine & Health Known Unknowns Changing nature of DPH role, new culture, working in a politically-led locally based organisation: elected members make decisions Centre-local balance unclear Managing dual accountability: to local authority, and to Secretary of State in DH Ring-fencing: aid or barrier? Links with GP consortia: GPs not strong on public health Future of public health in NHS

School of Medicine & Health More Known Unknowns Health and Wellbeing Boards: how effective will they be? Balance between tackling SDH and addressing the ‘nudge’ agenda: where does Marmot figure? Implications for NICE’s public health role: role in local government Future of Public Health Observatories Impact of localism and Big Society Impact of spending cuts

School of Medicine & Health Unknown Unknowns Performance management: hands-on DH (PHE) versus hands-off DCLG and DfE Balance between must-dos and may-dos in conditions for public health grant Local public health budget equal to or greater than the public health grant? Resourcing of public health team beyond the DPH New breed of DsPH - new titles, skills