‘Over view of Public Health England in Greater Manchester’

Professor Martyn Regan, Centre Director

Origins of Public Health EnglandHealthy Lives, Healthy People white paper

– Published November 2010 to set out a new approach to public health

– Responsibility for local health improvement returned to local authorities from 1 April 2013

– Public Health England is the expert national public health agency which fulfils the Secretary of State for Health’s statutory duty to protect health and address inequalities, and executes his power to promote the health and wellbeing of the nation.

Health and Social Care Act 2012

– Set the legislative framework for the changes to the health and care system that led to the creation of Public Health England as an operationally autonomous executive agency of the Department of Health

– Received Royal Assent 27 March 2012

2

Mission

Presentation title - edit in Header and Footer

“To protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.”

3

What we doPublic Health England:

– works transparently, proactively providing government, local government, the NHS, MPs, industry, public health professionals and the public with evidence-based professional, scientific and delivery expertise and advice

– ensures there are effective arrangements in place nationally and locally for preparing, planning and responding to health protection concerns and emergencies, including the future impact of climate change

– supports local authorities, and through them clinical commissioning groups, by providing evidence and knowledge on local health needs, alongside practical and professional advice on what to do to improve health, and by taking action nationally where it makes sense to do so

4

Structure – Public Health England

5

Chief Executive

Director of HealthProtection and

Medical Director

Director of Healthand Wellbeing

Chief KnowledgeOfficer

Director ofNursing

Chief of Staff

PrivateOffice

Secretariat

InternalAudit

CorporateGovernance

LegalService

Director ofStrategy

Chief OperatingOfficer

Director ofProgrammes

Finance andCommercial

Director

Director ofHuman

Resources

Director ofCommunications

RegionalDirectors

CentreDirectors

DevelopmentAdvisor

Advisory Board

Microbiology

6

Four regions, 15 centres

Eight Knowledge and Intelligence Hubs

– London– South West– South East– West Midlands– East Midlands– North West– Northern and Yorkshire– East

Other local presence– ten microbiology laboratories– field epidemiology teams

Additional support– Local teams can also draw on national

scientific expertise based at Colindale, Porton Down and Chilton

Local presence

Local focus

7

– Led by a senior public health professional

– Ensure quality and consistency and responsiveness of centres’ services and advice

– Support transparency and accountability of the system

– Assurance of emergency planning and response

– Workforce development

– Contribute to the national public health agenda

– Led by a senior public health professional

– Deliver services and advice around the three domains of public health

– Support local government and local NHS action to improve and protect health and reduce inequalities with intelligence and evidence

– Deliver the local input to emergency preparedness, resilience and response

15 CENTRES 4 REGIONS

Place-based approach to public health

8

Public health advice

Health and wellbeing boardsHealth and wellbeing boards

Local governmentLocal government CCGsCCGsPHE

centreNHSE

area team

• EPPR• Screening and immunisation• Offender public health programmes• Specialised commissioning• Primary care public health programmes

and population healthcare

NHS providers

Non-statutory

providers*People and communities

*Including voluntary and community sector

Our priorities for 2013/14

Presentation title - edit in Header and Footer

– Sets out Public Health England’s priorities and actions for the first year of our existence

– Five outcome-focused priorities – what we want to achieve

– Two supporting priorities – how we will achieve it

– 27 key actions to take now

– The start of the conversation – a three-year corporate plan will follow

9

Outcome-focused priorities

Presentation title - edit in Header and Footer

1. Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol

2. Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency

3. Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics

4. Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme

5. Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives

10

Supporting priorities

11

6. Promoting the development of place-based public health systems

7. Developing our own capacity and capability to provide professional, scientific and delivery expertise to our partners

12

13

www.agma.gov.uk

14

www.agma.gov.uk

Reducing Dependency and Demand

• Taking a Greater Manchester-wide approach which clearly adds value to reform at district level, particularly to those issues identified in our Community Budget proposals to reduce current and future dependency; early years, troubled families and transforming justice.

• Reform of the health and social care system based on significantly improving outcomes from specialist acute services and delivering a substantial reduction in unplanned admissions to hospital and other care institutions

• Deployment of common tools and techniques to support cross public service leadership at scale, including cost benefit analysis, investment agreements and data sharing

15

Developing a shared vision for Greater Manchester

16

www.gmphnetwork.org.uk

The published position

“Public Health England will exist to serve the system, a system led locally by elected members”

Duncan Selbie’s “Vision for PHE”

17

Public Health England’s overall mission will be:

• to protect and improve the health and wellbeing of the population,

• to reduce inequalities in health and wellbeing outcomes.

It will do this in concert with the wider health and social care and public health system, and with key delivery partners including local government, the NHS, and Police and Crime Commissioners, providing expert advice and services and showing national leadership for the public health system.

18

“The Greater Manchester PHE Centre Team”

The Greater Manchester PHE Centre Team

Centre Director

Health Protection Team Specialist Public Health Group Healthcare Services

Dental Public Health Healthcare Public Health

Local Offender Public Health

Immunisation and Screening Team (embedded wth GM LAT)

Health Improvement(Health and Well-being)

Health Improvement (Health and Well-Being) Alcohol & Drugs Business Management for Centre

19

Bringing public health priorities into the Health and Well Being Board Strategy