School of Medicine, Pharmacy & Health

The Changing Policy Landscape: Reflections and Looking to the Future

Presented by David HunterProfessor of Health Policy & Management1st July 2014

∂

School of Medicine, Pharmacy & Health

∂

School of Medicine, Pharmacy & Health

Concluding Reflections (1)Is the glass half-empty? Demise of the public health profession as we

know it: future of specialist-practitioner-wider workforce paradigm at risk

End of DsPH as we know them Emergence of a divided and fragmented

workforce split between different cultures Failure to recognise and invest in public

health skills training Devaluing the evidence base in political

world of local government Time of austerity: public spending cuts

∂

School of Medicine, Pharmacy & Health

Concluding Reflections (2)Is the glass half-full? Transform the way public health is conceived and

delivered Break away from the shackles of a biomedical

model and embrace a social model: from a deficit to an assets-based approach

Develop new skills and competencies – not a case of preserving the old and familiar

Embed new leadership style focused on influencing others engaged in health improvement and wellbeing

Use of ring-fenced public health budget to lever in resources from elsewhere

∂

School of Medicine, Pharmacy & Health

Raiding the Public Health Budget

Public health's voice drowned out in local government Many LAs used PH funds to support wider Council

services vulnerable to cuts Dilution of PH - 'robbing Peter to pay Paul' PH grant 'a resource to be raided' by LAs Removal of PH functions from NHS will weaken PH PH able to exert more influence in LG than in NHS Reviewing where money has been spent and doing

things differently is welcomeBMJ March 2014

∂

School of Medicine, Pharmacy & Health

Recent Policy Announcements

∂

School of Medicine, Pharmacy & Health

Unfinished Business (1)

Where is public health on the national agenda?

Statins

Assault on sugar

Plain Packaging

E-cigarettes

∂

School of Medicine, Pharmacy & Health

Unfinished Business (2)

Health and Wellbeing Boards: are expectations too high?

Integrated care

Better Care Fund

∂

School of Medicine, Pharmacy & Health

Unfinished Business (3)

How is Public Health England being viewed?

Lacks

independence

Must be credible

and authoritative

∂

School of Medicine, Pharmacy & Health

∂

School of Medicine, Pharmacy & Health

∂

School of Medicine, Pharmacy & Health

New NHS CEO – Good for Public Health?

∂

School of Medicine, Pharmacy & Health

WHO Europe Health 2020

∂

School of Medicine, Pharmacy & Health

Key Principles Underpinning Health 2020

Renewed emphasis on public health Health is wealth Health inequalities must be redressed Health systems are more than just health care Whole of society and whole of government approaches

needed Systems thinking approach adopted to analyse problems

and devise solutions From analysis to supporting delivery