health and wellbeing in derby derek ward joint director of public health
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Health and Wellbeing in Derby
Derek Ward
Joint Director of Public Health
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Current System New System
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Context
• Government PH white paper November 2010• Consultation period• The ‘pause’ – NHS Futures Forum• Publication of ‘Healthy Lives, Healthy People:
Update and way forward’ – policy statement regarding PH system reform, July 14th 2011
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Key points• Tier 1 local authorities will have a role
across all three domains of public health: – health improvement; – health protection; – health service public health
• Local authorities will have a mandated responsibility to provide public health expertise, advice and analysis to NHS commissioning bodies.
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Key points• Director of Public Health expected to be of
Chief Officer status and be directly accountable to the Chief Executive
• The Health and Wellbeing Board to bring the whole system together at the local level and set the local framework for commissioning of health care, social care and public health.
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New LA commissioning responsibilities
• appropriate access to sexual health services • plans to protect the health of the population • ensure NHS commissioners receive the public
health advice they need • the National Child Health Measurement
Programme • NHS Health Check Assessment • elements of the Healthy Child Programme.
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Funding
The public health budget will:• Be distributed to local authorities • Used by the NHS Commissioning Board to
commission PH programmes nationally• form the budget of Public Health England.
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What next?
• Public Health Outcomes Framework
• Public Health England Operating Model
• Public health funding
• Public Health in local government and the Director of Public Health
• Workforce.
Public Health System Updates including:
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Timescales for changeDate ChangeAutumn 2011 Publication of a series of Public Health Reform
Updates March 2012 Formal transition plans to be agreed
Shadow budget allocations to LAs for 2012/13 April 2012 Chief Executive of Public Health England in
post
April 2013 LAs take on public health responsibilities Establishment of Public Health England
2013/14 Public health grants made to LAs
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In Derby
• Health and Wellbeing Board in shadow form
• Work commissioned re Citizen voice and 3rd sector role in HWB
• Reporting back in November• Commissioning brings lots of
opportunity
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Challenges and Opportunities
• Completely new system – including for the 3rd Sector
• No roadmap!
• Majority of NHS money (circa £80bn) held by CCGs and NHSCB – Compact compliant?
• Loss of relationships and people
• But real opportunities strategically through HWB and operationally through delivery