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Adapting Public Health Policies: The Role of Local Government in Health and Wellbeing

Explore the evolving landscape of public health within local government as highlighted by Professor David Hunter. This discussion covers the roles and responsibilities of Directors of Public Health (DsPH), the impact of new governance arrangements, and the integration of health protection roles with local authorities. Key topics include the effectiveness of NHS guidelines, the challenges posed by welfare reforms, and the importance of collaboration across various sectors to enhance community health. Furthermore, we address the barriers to integration and accountability in the pursuit of better public health outcomes.

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Adapting Public Health Policies: The Role of Local Government in Health and Wellbeing

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Presentation Transcript

  1. The Changing National Context for Health & Wellbeing David Hunter Professor of Health Policy & Management 6th November 2012 School of Medicine Pharmacy & Health

  2. Recent Transactional Issues • Roles and responsibilities of DsPH in local government • Public Health England takes shape: new senior appointments • Using evidence in local government: NICE research briefings for local authorities • House of Commons Communities & Local Government Select Committee’s inquiry into the role of local authorities in health issues School of Medicine Pharmacy & Health

  3. Big Transformational Issues • Impact of government’s welfare reforms • Meeting tomorrow’s public health challenges: can problems be solved by guidelines or through tackling problems of modernity? • The end of local government? School of Medicine Pharmacy & Health

  4. Communities & Local Government Committee: local authorities & health inquiry (1) Terms of inquiry • Introduction of a public health role for councils • Adequacy of preparations for the new arrangements • Objectives of the new arrangements and how their impact can be measured • Intended role of HWBs in coordinating the NHS, social care and public health at local level • How local authorities can promote better public health and ensure better health prevention with the link to sport and fitness, wellbeing, social care, housing, education School of Medicine Pharmacy & Health

  5. Communities & Local Government Committee: local authorities & health inquiry (2) Terms of inquiry • Barriers to integration, including issues in multi-tier areas • How the transfer to local authorities of the frontline health protection role and the creation of PHE will affect resilience arrangements at local level • Accountability of DsPH • Financial arrangements underpinning local authorities’ responsibilities, including ring-fencing of budgets and how the new regime can link with the operation of Community Budgets School of Medicine Pharmacy & Health

  6. An Audience with Duncan Selbie Issues for discussion • How does he view the relationship between PHE and local government – 2 different cultures; PHE still part of DH and command and control culture? • Isn’t there a tension between PH in local government and the need for a system that operates to common standards and covers whole populations? • Does public health have a future in the NHS? • Is a fragmented PH workforce a risk under the new arrangements? • Would he like to elaborate on his comment that the NHS has failed public health for 40 years? Why was this? Was it a failure of leadership? School of Medicine Pharmacy & Health

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