Regulation – Where next? East Midlands 5+1 East midlands Councils Graham Jukes Chief Executive 14 th May 2013

Aim of the presentation To provide a wider perspective To update on the key areas of Regulation and public health To encourage debate And if we have time a quick thumbnail sketch about CIEH

April 2013 The longest recession in history

LGA Mapping – Income vs Expenditure

Economic climate-how long will recession last? Growth rate of 2% - Q Growth rate of 1.5% - Q Growth rate of 1% - Q Even if we have 2% growth from now, worst recession/depression since 19 th Century To meet current OBR projections we need growth of 3.8% currently it is 0.7%

The Governments agenda My Ministers' first priority will be to reduce the deficit and restore economic stability. To hold the government together (May 2013) (May 2012)

From the heart of Government Cabinet Ministers have accused the government of lacking “a compelling vision of where the country is heading beyond sorting out the fiscal mess.” Latterly - challenges to the “harmony” of the coalition as we start preparing for the general election in 2015 ( Europe and UKIP) (May 13) (Vince Cable 2012)

Heseltine Overall, the English system of local government is not suited to the demands of the 21 st Century and in particular our need for economic growth.

We provide policy support to Ministers on measurement issues and a measurement infrastructure which enables innovation, promotes trade and facilitates fair competition and the protection of consumers, health and the environment -National measurement office Whose job is it to safeguard the economic & social well - being and health of our society ? Trading Standards Institute The OFT's mission is to make markets work well for consumers. When consumers have choice they have genuine and enduring power. The prevention of death, injury and ill health to those at work and those affected by work activities ; HSE We are the Environment Agency. We protect and improve the environment and make it a better place for people and wildlife. The Food Standards Agency has a statutory objective to protect public health and consumers ' other interests in relation to food and drink. The mission of the Chartered Institute of Environmental Health is to maintain, enhance and promote improvements in public and environmental health. Our respective Missions

Governments view Regulation is a public good Regulation protects the public from harm Regulation ensures a level playing field

Better Regulation Landscape Rules – regulatory compliance code, primary authority, growth duty Values – professionalism, competency Accountability – engagement, transparancy, challenge

Policy background 1.Govt’s approach to regulation – BRDO, 2.Health and safety reform 3.FSA’s reviews 4.Health and Social care act 5.Localism 6.Economic survival For environmental health services this means different approaches

Health and Safety Exempting self-employed whose work activities pose no potential risk of harm to others 95% of businesses employ less than 10 People HSE the authority to direct all local authority health and safety inspection and enforcement activity, in order to ensure that it is consistent and targeted towards the most risky workplaces. (publication awaited) Addressing Gold plating of EU legislation

Health & Safety approaches OSHCR, accredited safety and health consultants register On-line tools for low-risk businesses and others RIDDOR changes Fewer inspections and more fees and charges

Food safety: FSA’s review affected by Govt’s regulatory reform but trading implications with the EU The review is looking at capability, competency, effectiveness, official controls The link in between regulation, growth and public health needs to be firmly established Consumer choice eg Food Hygiene Rating Scheme

FSA Compliance and Enforcement Strategy The principles behind the compliance and enforcement strategy are: Target interventions on areas where there is highest risk Give greater recognition to businesses ‟ own means of securing compliance Increase the transparency of a business ‟ food safety and hygiene standards Use wider incentives and penalties that drive compliance (recognising the different drivers in different food sectors and/or businesses) Put more emphasis on tackling persistent non-compliance with swift action on serious non-compliance Have consistent, risk-based application of controls throughout the food chain and an increased focus on their outcomes

Public health in England New structure include NHS, PHE and funding Engagement of EH in, regulation and two-tier delivery Health & social Care Act We must translate what we do into language that public health understands

Health Inequalities Different Gestation Times for Interventions A B C For example intervening to reduce risk of mortality in people with established disease such as CVD, cancer, diabetes, health protection at work, public protection For example intervening through lifestyle and behavioural change such as stopping smoking, reducing alcohol related harm and weight management to reduce mortality in the medium term, work health improvement schemes For example intervening to modify the social determinants of health such as worklessness, poor housing, poverty and poor education attainment to impact on mortality in the long term

Duncan Selbie’s Friday message 8/2/13 “We will be working closely with the CIEH as a valued partner. EHPs are public health professionals with an important role in the wider public health family, they are fundamentally there to protect and improve health. Environmental health was the original public health service and environmental health professionals to this day make a practical and lasting difference to community safety”.

Environmental health delivery Impact on private and third sector environmental health Patchwork delivery structure Professional status competency professionalism are more important than ever Different models of delivery North Tyneside, Barnet, (outsourcing), 19 Shared services

local authorities must continue to deliver competent interventions Air quality Climate change risks Food safety Housing conditions Noise Public health Workplace safety, health and wellbeing

CIEH Governance and Assembly 2013

Aims of Governance change programme Faster and more responsive organisation Greater member representation and involvement Stronger professional networks Increased openness and transparency Best practice in charity management Implementation review 2013

Assembly of Representatives 32 Assembly Representatives Professional focus Debate Connect Consult Rosemary Lee (C)

Regional/SIG network Professional voice and hub for the development of regional and specialist environmental health policy and practice

Involving members Region/branch/SIG Assembly of Representatives Contribute to committees Specialist networks/ advisory group/panels Engage, connect and consult EH Managers network

Corporate Plan- priority themes 2012 Public Health Regulation and Training Sustainability Competency Comprehensive stakeholder engagement and support

Corporate Plan- priority themes 2013 Focussed professional agenda Investing in membership development Protecting our UK business Develop an advisory business Develop our international interests Harnessing digital technologies Aligning organisational culture, values behaviours

Thank you Questions and discussion. Graham Jukes, Chief Executive, CIEH