A public health model for Devon

Transcription

1 A public health model for Devon Healthy Lives, Healthy People The new public health system Steven Brown Assistant Director of Public Health

2 There remains a powerful case for change We face significant challenges to the public s health: two out of three adults are overweight or obese smoking costs the NHS 2.7 billion per year. And there are wider economic and social costs from preventable ill-health: drug use and smoking cost over 10 billion per year major health threats, ranging from the risk of new pandemics to the potential impact of terrorist incidents inequalities in health remain:in , the gap between local authorities with the highest and lowest life expectancy was nearly 12 years for males and just under 11 years for females.

3 The new public health system leadership role for local authorities new roles and responsibilities supported by a new integrated public health service, Public Health England working alongside the NHS, with its continuing role promoting health through clinical services clear priorities stronger focus on health outcomes, supported by the Public Health Outcomes Framework public health as a clear priority for Government, backed by ring fenced resources

4 Local government leadership rationale Local government should lead for public health because of its: population focus, as the democratically accountable stewards of local health and wellbeing ability to address many of the wider social determinants of health, and experience of, and ability to tackle, inequalities in health.

5 Local government s new functions New duty to improve the health of the population: commissioning services from a range of providers working with Clinical Commissioning Groups to integrate care pathways using health and wellbeing board to integrate commissioning approaches providing population healthcare advice to the NHS duty to ensure plans in place to protect health. Local political leadership critical to making this work.

6 Local authority commissioning responsibilities Tobacco control & smoking cessation Alcohol and drug misuse Services for children 5-19 National Child Measurement Programme* Obesity and weight management Local nutrition services Increasing physical activity NHS Health Checks* Public mental health services Dental public health services Injury prevention Birth defect prevention Behavioural and lifestyle campaigns to prevent LTCs Local initiatives on workplace health Support and challenge of NHS services (imms and screening) Public health advice to NHS* Sexual health services* Seasonal mortality initiatives Local role in health protection incidents* Community safety Social exclusion * Indicates mandated services

7 Local leadership for health protection Secretary of State responsible for health protection via PHE Local authority under a duty to ensure plans are in place to protect the local population Local authority role How the role will work Ensuring plans in place for: outbreaks and emergencies; and preventing them occurring immunisation and screening infection control DPH leadership, rather than managerial role to highlight, advise, challenge and advocate. Supported by PHE expertise and infrastructure Lead DPH to coordinate Local Resilience Forum emergency planning and response DPH challenge and advice to NHS on local screening and immunisation plans

8 Population health advice to the NHS Local authorities are mandated to provide population healthcare advice to the NHS Agreed memorandum of understanding between Devon County Council and Clinical Commissioning Group s to provide public health expertise, including: Public health advice at all stages of the commissioning cycle Provide public health information and intelligence Produce practice health profiles, Undertake health needs assessment for disease groups Health economic + cost effectiveness of interventions Critical appraisal of evidence

9 Public Health England PHE is an executive agency of Department of Health PHE will have the operational autonomy to advise Government, local authorities and the NHS in a professionally independent manner Three key functions Delivering services deliver specialist public health services to national and local government and the NHS deliver information and intelligence service to support effective action, locally and nationally design and deliver nationwide communications and interventions to support the public to protect and improve their health leading for public health encourage transparency and accountability across the system support public health policy development through evidence and advice work with partners to build the evidence base about what works in improving and protecting health and wellbeing workforce Public Health England will support the development of the specialist and wider public health workforce

10 PHE s organisational design National Office PHE Hubs x 4 Local Units x 15

11 The NHS s role in public health The NHS will continue to play a key role in improving and protecting the public s health. The NHS will also continue to commission specific public health services e.g. NHS Commissioning Board: - public health nurses (0-5 years) - immunisation programmes - national screening programmes - public health care for people in prison and other places of detention - sexual assault referral services NEW Devon Clinical Commissioning Group - termination of pregnancy services - maternity services

12 Public health budget allocation 5.45bn National allocation 2.66bn Local authorities 2.2bn PHE 600m NHS CB

13 Steven Brown Assistant Director of Public Health