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Public Health England Dr Ruth Hussey OBE

Director, Public Health England Transition Team13 May 2011

The case for change

• Disease patterns are changing:

• we are living longer – but with significant inequalities in life expectancy and ill health

• But there are unresolved challenges, influenced by our lifestyles and social issues:

• Circulatory diseases, respiratory diseases and cancers

• Mental ill-health

• impact of long-term conditions

• New health threats (and persistent old ones)

Time to change our approach to public health

A radical new approach

• Owned and driven by local communities

• Addressing the root causes of poor health and wellbeing

• Holistic approach to wellness

• Reaching those who need the most support

• Professionally-led public health service, focused on evidence

• Strengthened protection against health threats

• Prevention embedded within the NHS

Public Health England

• The new integrated national public health service

• Part of the Department of Health

• Bringing the HPA, NTA, observatories, cancer registries and some DH and SHA functions into a new organisation

• Leadership nationally on key issues and functions

• Maintain a strong relationship with local government, the NHS and a range of stakeholders

• DsPH jointly appointed to PHE and their local authority

DH and Public Health England transition governance

Departmental BoardChair: Secretary of State

DH Executive BoardChair: Una O’Brien

PHE: Programme Board

Anita Marsland

Vice Chair: Justin McCracken

DH and Local Government Programme Board

David Behan &

Anita Marsland

Transition Programme Board

Chair: Richard Douglas

PHE transition team and work programmes

PHE: Transition Executive TeamAnita Marsland

NHS Management

Board

Public Health England: transition team

Work programmes and teams:• accountability and governance• organisational design• information and intelligence

• Professional leadership• HR and workforce• finance, estates, IT, procurement • communications and engagement

Anita MarslandTransition Managing Director of PHE

Janice ShersbyProgramme Director PHE

Transition Team

Jonathan MarronProgramme Director, PHE

Transition Team

Dr Ruth Hussey OBEDirector, PHE

Transition Team

White Paper consultation and response

• Consultation on the white paper closed on 31 March.

• Successful engagement process:

• Over 2,100 written responses, many substantive and detailed, offering new insights and thoughts

• DH held 60 consultation events and supported over 100 more

• We are preparing a response document – a ‘command paper’ – covering all public health consultations. This will set out direction of travel and next steps for transition. Due in the summer.

Listening exercise and the NHS Future Forum

• Natural break in the Bill process to pause, listen, reflect on and improve NHS modernisation plan.

• Recognise there are some questions and concerns about the modernisation plan and mechanics of putting this plan in place

• NHS Future Forum to bring together patient representatives, clinicians and others to listen and report back to the Government.

• Dr Frank Atherton, President of the ADPH, is a member of the Forum.

Engagement, learning and adaptation at the heart of effective implementation – not a one-off

The listening exercise: impact on public health reforms

• NHS Future Forum will report to Government in the next few weeks.

• All statutory changes due to take place in April 2012 will now take place no earlier than July 2012, including:

– Assumption of full powers of PHE

– Transfer of functions from arms length bodies, including HPA & NTA

– Abolition of SHAs

• Creation of shadow bodies and appointment of senior staff to these organisations delayed to allow time for this engagement process

• Proposed timelines for GP consortia to take control of commissioning remains at April 2013, as does statutory powers of Health and Wellbeing Boards.

An overview of implementationAn updated view of implementation – to July 2012

2011 2012AprilApri

lJuly Oct Jan

Plan /manage people & HR transition – DH, NHS, HPA, NTA, PHOs

PHE “live”

Preparation Building new organisation Live PHE

PH Due diligence

PHE Framework doc

PHE structure designPH WP consultation

Recruit/ Appoint PHE COO & Exec Team

Map all staff to new structure

Staff consultation re mapping

Agree framework doc, PHE top

structure, locations COO and Senior mgt team in place, so can

map all future staff into new structure

Manage delivery of transition of HPA, NTA, PHOs to PHE (finance, systems, estates, assets)

Develop transition plans for HPA, NTA, PHO

Develop PH Budget,

Establish finance processes, systems, arrangements, allocations for new PHE

Establish shadow PH budgets for LAs

HPA, NTA, PHOs staff and assets transitioned into PHE

Build PHE business plan, prep for 2011/12

Develop op’g model for system, PHE, link to LAs

Establish the new PHE

Develop new PH System

Work with Las to transfer PH responsibilities to LAs

Plan people/ budget transition to LAs

July

Write People trans’n policies

People

Finance, Estates, assets, infrastructure

Establish PH Budget

Plan, prepare accommodation and info systemsAgree locationsAgree req’d IT changes

Contact details and further information

• NHS Future Forum and listening exercise: how to share your views:

www.dh.gov.uk/healthandcare

• Contacting the Public Health England Transition Team

email: PublicHealthEngagement@dh.gsi.gov.uk

• Information about the overall modernisation process (and where publications are letters are stored):

http://healthandcare.dh.gov.uk/