1. 22 May 2006 Ramada Plaza Hotel Wrexham
Team Leaders’ Forum
22 May 2006
Ramada Plaza Hotel
Wrexham

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

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

4. 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

5. Stakeholder Consultation
Direct comments
Session at the Stakeholder Forum

6. 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

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

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

9. Are There Overlaps?
Efficiency
Effectiveness
Value for money

10. 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

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

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

13. 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

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

15. 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

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

17. 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

18. 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

19. 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

20. 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

21. 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

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

23. 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!

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