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Budget & Performance Task Group Public Health

This summary outlines the Public Health initiatives transferred to local government in April 2013 under the Health and Social Care Act 2012. The Tri-borough service, hosted by Westminster City Council, aims to improve population health through a balanced budget, reflecting a ring-fenced Department of Health grant. The budget for 2014/15 anticipates total allocation, focusing on critical issues like childhood obesity, sexual health, and resource management. Challenges ahead include managing new responsibilities and the impact of welfare reforms on community health.

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Budget & Performance Task Group Public Health

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  1. Budget & Performance Task GroupPublic Health Sue Atkinson Director, Public Health

  2. Executive Summary • Public Health Transferred to local government in April 2013 under the Health and Social Care Act 2012 • This is a Tri-borough service (WCC, RBKC & LBHF), hosted by Westminster City Council • Charged with improving the health of the whole population • Services split into mandated and non-mandated, examples include;

  3. Public Health Budget • Public Health was allocated a Department of Health grant of £30.4M in 2013/14. • The projected outturn for 2013/14 is a balanced budget, i.e. the grant will be allocated/spent in full. • The draft budget envelope for 2014/15 reflects a ring-fenced Department of Health grant of £31.2M which is expected to be fully spent.

  4. 2014 /15 Key Issues/Projects • Integration into Managed Service programme. • Identifying ways to contribute to medium term plan with a ring fenced budget. • Resource issue re contract re-procurement.

  5. 2014/15 Savings Proposals • Tri-borough is in the process of reviewing the contracts for the services provided with the aim of delivering contractual efficiencies and value for money, e.g.: • Childhood Obesity • Young People Sexual Health • Genito-Urinary Medicine • Core Drugs Programme • No saving targets have been allocated for 2014/15

  6. 2014/15 Budget Pressures & Risks • From April 2015 Health Visitors will be transferred to Public Health, no additional commissioning and contract management resource to manage this £7M service. • Unknown impact of Housing Benefit reforms, including: • Effects on mental health • Fuel poverty • Child poverty • Growing demand on School Nursing from: • Free schools • Changes to Children and Family Bill • Access to dual diagnosis, substance misuse.

  7. 2014/15 Public Health Budget Composition

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