Healthy Lives, Healthy PeopleOur strategy for public health in England

Dr Simon Tanner

Regional Director of Public Health for London

Health inequalities in London

Life expectancy (males)

Male life expectancy in London by borough (2005-2007)

70

72

74

76

78

80

82

84

86

Green

wich

Isling

ton

Tower

Ham

lets

Hackn

ey

Newha

m

Lam

beth

Walt

ham

For

est

Lewish

am

Haring

ey

Barkin

g an

d Dag

enha

m

Wan

dswor

th

Camde

n

Houns

low

South

wark

Lond

on

Hilling

don

Hamm

ersm

ith a

nd F

ulham

Ealing

Haver

ing

Croyd

on

Redbr

idge

Brent

Enfiel

d

Sutto

n

Bexley

Kingsto

n up

on T

ham

es

Barne

t

Brom

ley

Harro

w

Mer

ton

Richm

ond

upon

Tha

mes

City o

f Wes

tmins

ter

Kensin

gton

and

Che

lsea

London borough

Lif

e ex

pec

tan

cy (

year

s)

Premature deaths from cancers

The new approach

• Public health is a government priority

• Action across NHS and social care – and all areas that impact on health

• A new focus on local action led by individuals, families, communities and local government

• Resources ring-fenced and incentives to improve• Strengthened protection against health threats• Professionally led, evidence-based and efficient

New public health system – national

• A new integrated public health service – Public Health England – will be set up as part of DH. Its remit will focus on ‘health protection’.

• Funding ring-fenced within the DH budget.• Public health part of the NHS Commissioning

Board’s mandate.• ‘Responsibility Deal’ with business, to drive

improvements in healthy living.• New Cabinet sub-committee on public health.

New public health system – local

• New role for local authorities to lead action in health improvement and tackling inequalities.

• Directors of Public Health to be strategic leads within local authorities

• Local authorities allocated ring-fenced health improvement funding.

• A new ‘health premium’ will reward progress to tackle inequalities.

• Outcomes driven: DH to set ‘Outcomes Framework’ but local freedom to achieve this.

Director of Public Health

Jointly appointed by the local authority and Public

Health England

“Principal adviser” on all health matters to the LA on the full range

of local authority functions

Promote integrated working across NHS and local government services

Commissioning

advice to GPs

Develop the

JSNA and joint

health and

wellbeing

strategy

Accountable to

the Secretary of State and

Chief Medical Officer

A different system for London

• The Mayor of London has an existing responsibility for tackling health inequalities.

• London Health Improvement Board proposed, governed by boroughs and the Mayor.

• We want to create a system that:– integrated with Mayor’s health inequalities role.

– Joins with local roles and with Public Health England into a coherent system for London

– Can make a real impact on Londoners’ health

Consultations

• Current consultations on key aspects of these proposals, including on:

– public health commissioning & funding

– outcomes framework

• And to inform links across the new system:

– Health and wellbeing boards

– New providers of services, including voluntary and community sector providers

• Today’s event is to listen to your views and inform your further contributions

Summary timetable (subject to Parliament) Date

Consultations on:• specific questions set out in this White Paper• the public health outcomes framework• the funding and commissioning of public health

Deadline: 31 March 2011

• Public Health England established in shadow form, within the Department of Health • start to set up new working arrangements with local authorities• London Health Improvement Board to start in shadow form

During 2011

• Public Health England to take on full responsibilities, including the functions of the Health Protection Agency• Public health ring-fenced allocations to local authorities published

April 2012

• New system takes full effect. Including ring-fenced allocations to local authorities

April 2013

Next steps and Questions

• London’s Public Health Transition Advisory Group – Peter Lewis is a member

• Consultations close on 31 March 2011– We will consider your comments today– Encourage further written responses www.consultations.dh.gov.uk/healthy-people

• To email the white paper team: PublicHealthEngland@dh.gsi.gov.uk

• To email the public health team in London: LondonPublicHealth@dh.gsi.gov.uk