1. School of Medicine & Health Update on Emerging Policy Changes David Hunter

2. School of Medicine & Health Key Developments 2 nd white paper – Health lives, Healthy People: Update and way forward (July 2011) Roger Boyle’s departure from DH (July 2011) 2 nd phase of NHS Future Forum (August 2011) 38 Degrees – independent legal assessment of Health and Social Care Bill (August 2011) Growing opposition from BMA, RCGP, RCN and members of House of Lords (August/September 2011) Report stage of amended Health and Social Care Bill (September 2011)

3. School of Medicine & Health The Second White Paper: Highlights (1) Bold, exciting vision for local authorities LA role across 3 domains: health protection, health improvement, health service improvement PHE to be established as an Executive Agency of DH PHE to support local action, including ‘having a local presence’

4. School of Medicine & Health The Second White Paper: Highlights (2) DsPH employed by LAs but joint appointment with PHE Expectation that DPH will be directly accountable to local authority CEO ‘Core public health’ offer from LAs to NHS Reaffirmation of clear line of sight from SoS down to frontline re health protection

5. School of Medicine & Health Work in Progress: Unresolved Issues Relationship between LAs and PHE: the makings of central-local tension? Public health funding: little progress so far Health premium: not generally welcomed Public health outcomes framework Workforce – uncertainty about registration

6. School of Medicine & Health NHS Future Forum: Second Phase Four workstreams Public health (focus on NHS involvement) Information Education and training Integration

7. School of Medicine & Health Continuing Concerns about Health and Social Care Bill Legal duty of SoS to provide a NHS: does it remain or will it be removed? Opening up NHS to European competition law and potential privatisation

8. School of Medicine & Health What Next? Kill the Bill Key role by House of Lords - Shirley Williams, David Owen Push the reforms through regardless of their flaws Sign up for NELIHWBP cohort 3 to find out how it all ends!