Public Health in London

1
Public Health in London

• Deborah Williams
• Regional Public Health Group - London

2
Congratulations

• RPHG and NHSL pleased to support the database
  development
• Manchester and London feedback
• Concept of a market in Public Health
• A tool for commissioners
• Bar for inclusion set high
• Strengthening local voices

3
What does public health mean?

• Health improvement and tackling health
  inequalities wider/social determinants and
  health related behaviours
• Health protection (eg screening, immunisation and
  vaccination, emergency planning)
• Public Health input into new commissioning
  structures
• A concentration on prevention rather than cure.

4
Key Elements of Coalitions Reform Agenda

• Shift of health improvement resource from NHS to
  local government leadership.
• Locally - PH teams in councils with DPH
  leadership to cover all three pillars of PH
• Nationally - Public Health England to be
  responsible for health protection and helping
  local action on health improvement based on best
  available evidence

5
Why We Need to Work Together

• 17 year difference in life-expectancy across
  London
• Localism needs to operate in a framework that
  allows collaboration when useful
• We have good evidence for interventions that we
  dont implement
• We do a lot of things which have limited
  effectiveness
• There is burgeoning literature and policy advice
  on behavioural change in health and wider social
  policy

6
Where have we got to?

• Governance
• National - Regional Director of Public Health (Dr
  Simon
• Tanner) responsible for transition and linking
  with
• Department of Health and the Public Health
  England
• transition team
• Regional - London PH Transition Programme Board
  has
• been in place for over 1 year with senior Borough
  and VCS
• Representation

7
Where have we got to?

• Healthy Lives, Healthy People Update and Way
  Forward (July 2011- post listening exercise)
• Five further policy papers due to be published by
  the Department during the Autumn
• - Public health outcomes framework
• - Public Health England Operating Model
• - Public health in local government and the DPH
• - Public health funding
• - Workforce strategy

8
Where have we got to?

• Role of Director of Public Health broadly
  outlined
• Appointment process and responsibilities to be
  clarified
• National agreement on moving staff from the NHS
  to LG being developed
• Discussions in London about the future of c.1000
  public health staff
• London Health Improvement Board being established
• 2012 -13 PHE Leadership recruited and shadow
  operation

9
London Health Improvement Board

• Membership includes
• - 4 Borough leaders
• - NHS reps
• - GLA Mayor and Pam Chesters
• Shadow Board will work with stakeholders to
  identify how pan-London action can produce
  improvements in outcomes and cost savings
• The Boards activities will be funded by 3 of
  public health funds from local authorities
  (potential for a further 3)
• Next meeting in October to discuss potential
  actions relating to
• - Alcohol
• - Childhood obesity
• - Cancer early detection and prevention
• - Information for health improvement

10
So what does this mean for the VSC ?

• Healthy Lives, Healthy People
• Starting well
• Developing well
• Growing Up well
• Living and Working well
• Ageing well

11
Staying in the Conversations

• DH and VSC linked through Regional Voices
• Mayor and VCS linked through Community Voices
• VCS is part of thinking about Any Qualified
  Provider
• Added value of VCS provision in a more
  traditional pathway