Transcript Association of Directors of Public Health (ADPH)

Public Health In Transition
Dr Frank Atherton
ADPH President
February 2011
MOH: Watchdog or Lapdog?
www.adph.org.uk
Context
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White Paper
Health and Social Care Bill
New responsibilities
New organisations
Health status improvement but Health
Inequalities
• Marmot Review – causes of the causes
www.adph.org.uk
So what actually is
“public health?”
“The science and art of promoting and protecting health and
wellbeing, preventing ill health and prolonging life through the
organised efforts of society...”
3 domains…
www.adph.org.uk
Hospital
Consultants
Public Health
Management
www.adph.org.uk
GPs
Architecture of the new PH System
www.adph.org.uk
Transformational Opportunities
• Better Outcomes
• Public Health Capacity at Centre of LA
policy/planning
• Health/Social Care Integration
• Reintegration with LA services (Env H, EP)
• Reintegration PH/Primary Care
• Public Health focused commissioning plans
www.adph.org.uk
Transitional Concerns
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Three Domains to be retained/linked
Workforce Capacity
Identify/Protect Current Resource/Ringfencing
Role DPH
• Statutory Appt (All LAs to have one)
• Professional Standards
• Influence across LA agenda
• Advisor to HWB Board
• Population advocacy cf Officer role
– Two Tier Authorities - Role of District Councils
www.adph.org.uk
Issues for the new System
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DPH accountabilities (LA and PHE)
Relationship LA to NHS
Employing bodies for PH specialists
Integration or Fragmentation
– Workforce
– Finance
– Accountabilities
• System Oversight
• Coordination when things go awry (pandemic,
screening incidents, etc)
www.adph.org.uk
Tools
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JSNA
HWB Boards
HWB Strategies
Overview and Scrutiny
Annual PH Report
Health Premium
www.adph.org.uk
Recipe for Success
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Political Will/Leadership – civic pride
Get the models right
Adaptability; DsPH and Councils
Learn from Early Implementers
Joint development programmes
Monitor and manage the transitional risks
www.adph.org.uk
Architecture of the new PH System
www.adph.org.uk
Health Bill Amendments?
• Status of PHE
• GP Consortia – civil contingency
act, duties to cooperate etc.
• Inequalities of Outcome rather
than access to care
www.adph.org.uk
www.adph.org.uk