Public Health In Transition

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Presentation transcript:

Public Health In Transition Dr Frank Atherton ADPH President February 2011

MOH: Watchdog or Lapdog? MOHs moved because of concerns about lack of impact, lost focus on health promotion, not tackling vested interests, bound by political indecision, and seduced into hospital administration www.adph.org.uk

Context White Paper Health and Social Care Bill New responsibilities New organisations Health status improvement but Health Inequalities Marmot Review – causes of the causes www.adph.org.uk

So what actually is “public health?” “The science and art of promoting and protecting health and wellbeing, preventing ill health and prolonging life through the organised efforts of society...” 3 domains… www.adph.org.uk

Hospital Consultants Management GPs Public Health Management GPs www.adph.org.uk

Architecture of the new PH System www.adph.org.uk

Transformational Opportunities Better Outcomes Public Health Capacity at Centre of LA policy/planning Health/Social Care Integration Reintegration with LA services (Env H, EP) Reintegration PH/Primary Care Public Health focused commissioning plans www.adph.org.uk

Transitional Concerns Three Domains to be retained/linked Workforce Capacity Identify/Protect Current Resource/Ringfencing Role DPH Statutory Appt (All LAs to have one) Professional Standards Influence across LA agenda Advisor to HWB Board Population advocacy cf Officer role Two Tier Authorities - Role of District Councils www.adph.org.uk

Issues for the new System DPH accountabilities (LA and PHE) Relationship LA to NHS Employing bodies for PH specialists Integration or Fragmentation Workforce Finance Accountabilities System Oversight Coordination when things go awry (pandemic, screening incidents, etc) www.adph.org.uk

Tools JSNA HWB Boards HWB Strategies Overview and Scrutiny Annual PH Report Health Premium www.adph.org.uk

Recipe for Success Political Will/Leadership – civic pride Get the models right Adaptability; DsPH and Councils Learn from Early Implementers Joint development programmes Monitor and manage the transitional risks www.adph.org.uk

Architecture of the new PH System www.adph.org.uk

Health Bill Amendments? Status of PHE GP Consortia – civil contingency act, duties to cooperate etc. Inequalities of Outcome rather than access to care www.adph.org.uk

www.adph.org.uk