1 / 6

Public Health Transition to Local Government: Latest Policy Developments

Public Health Transition to Local Government: Latest Policy Developments. David Hunter Professor of Health Policy & Management 15 th January 2013. School of Medicine Pharmacy & Health. What’s been happening?.

vega
Télécharger la présentation

Public Health Transition to Local Government: Latest Policy Developments

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Public Health Transition to Local Government: Latest Policy Developments David Hunter Professor of Health Policy & Management 15th January 2013 School of Medicine Pharmacy & Health

  2. What’s been happening? • Oral evidence sessions – House of Communities and Local Government Committee Inquiry: The Role of Local Authorities in Health Issues • Prospects for Health and Wellbeing Boards – The Smith Institute report • Delayed announcement on ring-fenced PH funding for LAs, 2013-14 and 2014-15 School of Medicine Pharmacy & Health

  3. Select Committee Inquiry – Key Messages (1) • Not a full return (or transfer) of public health function to local government – significant chunks of activity lie at the centre with NHSCB and PHE, including over half the available funding • Ring-fenced funding will be absorbed by mandated services (sex, drugs and alcohol services, school nursing) leaving little flexibility over other public health priorities • Risk of wider public health being ‘crowded out’ by: • Public health ‘offer’ to NHS • NHS and healthcare agenda • Integrated care School of Medicine Pharmacy & Health

  4. Key Messages (2) • Lack of confidence in local government to use levers at its disposal to improve health • Role and accountability of DPH uncertain in some LAs: to be at the top table or not to be? • DPH role is to be an influencer • New complex relationships to be managed effectively, including: • Department of Health and Department for CLG • DH and PHE • PHE and NHSCB (at national, regional and local levels) • PHE and LAs (critical friend or performance manager or regulator) • CCGs and HWBs • NHSCB and HWBs • Two tier LAs School of Medicine Pharmacy & Health

  5. Key Messages (3) • Key role for place-based budgeting (remember Total Place Pilots?): from ring-fencing to place-based budgeting • Poor performance is a risk of localism • Who holds LAs to account: • Health scrutiny • Healthwatch • Concerns about HWBs, including • Size, frequency of meetings, governance • Role • commissioners of services? • focus on health and social care interface? • Great deal depends on nature of partnerships and relationships • Few powers: quality of leadership and relationships School of Medicine Pharmacy & Health

  6. Key Messages (4) • PHE to provide a spine on which quality and outcomes can be driven • New arrangements lack firmness and stiffness of spine necessary to drive forward measurable change at population level • Some arrangements 'pink and fluffy' • Localism versus top-down direction • Fears of loss of analytical capacity to CSUs • Less emphasis on lifestyles and more on root causes of ill health and barriers to lifestyle change • LA is a place-maker • Integration of public health into LAs - not a stand-alone department • HWBs are like orchestras - not everybody plays at the same time • Lobbying role for LAs to government, eg obesity and role of food manufacturers  • Timeframe to make a difference - 2015 School of Medicine Pharmacy & Health

More Related