Bob Hudson: Public health lessons from home: The view from Wales

Lessons from home: the view from Wales About Public Health Wales 13 July 2011 Bob Hudson, Chief Executive, Public Health Wales

Presentation
Health in Wales
NHS Wales restructuring in 2009
Public Health system in Wales
Reflections
Lessons from home: the view from Wales

Health in Wales
Health of the population in Wales continues to improve
But
Health is worse in Wales than England, Scotland and Northern Ireland
Health inequities remain stark and resistant to change

NHS Wales restructuring
Replacement of 22 Local Health Boards and 10 NHS Trusts with seven health boards and three specialist NHS trusts
Abolition of the internal market
Changes introduced in October 2009

Health system in Wales
NHS Wales in Welsh Government
Seven health boards and three specialist trusts
22 unitary local authorities

Restructuring objectives
Fit with ‘One Wales’ coalition government agreement
Fit with Welsh culture and values: co-operation not competition
Integration and simplification
Appropriate to scale in Wales

Public health in Wales
2005: Establishment of National Public Health Service for Wales
Included most specialist public health services and Public Health Laboratory Service
Reduced funding
2006: Review by Public Health Resource Unit
2009: Reorganisation in line with NHS Wales

Public health system in Wales
NHS Wales
including Chief Medical Officer and Department of Public Health and Health Professionals
Seven health boards
Population health responsibilities
Employ Directors of Public Health
Public Health Wales
Specialist public health services

Public Health Wales
Incorporates the functions and services previously provided by:
Congenital Anomaly Register and Information Service (CARIS)
National Public Health Service for Wales
Screening Services Wales
Wales Centre for Health
Welsh Cancer Intelligence and Surveillance Unit (WCISU)

Public Health Wales
Established in 2009 at the same time as the restructuring of NHS Wales
1,200 staff
£82 million budget
More than 40 locations
Staff working in local teams, all Wales programmes and networked services

Our ambition
To achieve a healthier, happier and fairer Wales
We can only achieve this by working together with our stakeholders

Directorate of Public Health Services
Accounts for approximately 70 per cent of Public Health Wales staff
Responsible for the following divisions:
Health Protection
Screening
Safeguarding

Directorate of Public Health Development
Main link to the Directors of Public Health
Seven local teams
Responsible for:
Health and Social Care Quality
Health Improvement
Health Intelligence including the Public Health Wales Observatory, Welsh Cancer Intelligence and Surveillance Unit

Reflections (1)
NHS Wales system is simple
Public health system is complex
Roles and relationships are complex and need time to develop
Need to engage further with local government
But joint planning embedded in system: Health, Social Care and Wellbeing Strategies

Reflections (2)
Public health is centre stage
Political support and consensus
Integrated health system in Wales with public health at its core
From Government to grass roots
Integrated public health system by organisation and by domain
Economies and efficiencies of scale

Reflections (3)
Cross border issues need managing
Health protection issues
Population movement
System in Wales is not self sufficient
Dependencies on HPA and FSA etc
Professional development
Research and development

Bob Hudson: Public health lessons from home: The view from Wales

by The King's Fund on Jul 20, 2011

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