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Lessons from home: the view from Wales About Public Health Wales 13 July 2011 Bob Hudson, Chief Executive, Public Health W...
Presentation <ul><li>Health in Wales </li></ul><ul><li>NHS Wales restructuring in 2009 </li></ul><ul><li>Public Health sys...
Health in Wales <ul><li>Health of the population in Wales continues to improve </li></ul><ul><li>But </li></ul><ul><li>Hea...
NHS Wales restructuring <ul><li>Replacement of 22 Local Health Boards and 10 NHS Trusts with seven health boards and three...
Health system in Wales <ul><li>NHS Wales in Welsh Government </li></ul><ul><li>Seven health boards and three specialist tr...
Restructuring objectives  <ul><li>Fit with ‘One Wales’ coalition government agreement </li></ul><ul><li>Fit with Welsh cul...
Public health in Wales <ul><li>2005: Establishment of National Public Health Service for Wales </li></ul><ul><ul><li>Inclu...
Public health system in Wales <ul><li>NHS Wales  </li></ul><ul><ul><li>including Chief Medical Officer and Department of P...
Public Health Wales <ul><li>Incorporates the functions and services previously provided by: </li></ul><ul><ul><li>Congenit...
Public Health Wales <ul><li>Established in 2009 at the same time as the restructuring of NHS Wales </li></ul><ul><li>1,200...
Our ambition <ul><li>To achieve a healthier, happier and fairer Wales </li></ul><ul><li>We can only achieve this by workin...
Directorate of Public Health Services <ul><li>Accounts for approximately 70 per cent of Public Health Wales staff </li></u...
Directorate of Public Health Development <ul><li>Main link to the Directors of Public Health </li></ul><ul><ul><li>Seven l...
Reflections (1) <ul><li>NHS Wales system is simple </li></ul><ul><li>Public health system is complex </li></ul><ul><ul><li...
Reflections (2) <ul><li>Public health is centre stage </li></ul><ul><ul><li>Political support and consensus </li></ul></ul...
Reflections (3) <ul><li>Cross border issues need managing </li></ul><ul><ul><li>Health protection issues </li></ul></ul><u...
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Bob Hudson: Public health lessons from home: The view from Wales

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Bob Hudson, Chief Executive of Public Health Wales, gives an overview of the Welsh public health system and how it fits within wider changes to the NHS in Wales.

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Transcript of "Bob Hudson: Public health lessons from home: The view from Wales"

  1. 1. Lessons from home: the view from Wales About Public Health Wales 13 July 2011 Bob Hudson, Chief Executive, Public Health Wales
  2. 2. Presentation <ul><li>Health in Wales </li></ul><ul><li>NHS Wales restructuring in 2009 </li></ul><ul><li>Public Health system in Wales </li></ul><ul><li>Reflections </li></ul>Lessons from home: the view from Wales
  3. 3. Health in Wales <ul><li>Health of the population in Wales continues to improve </li></ul><ul><li>But </li></ul><ul><li>Health is worse in Wales than England, Scotland and Northern Ireland </li></ul><ul><li>Health inequities remain stark and resistant to change </li></ul>Lessons from home: the view from Wales
  4. 4. NHS Wales restructuring <ul><li>Replacement of 22 Local Health Boards and 10 NHS Trusts with seven health boards and three specialist NHS trusts </li></ul><ul><li>Abolition of the internal market </li></ul><ul><li>Changes introduced in October 2009 </li></ul>Lessons from home: the view from Wales
  5. 5. Health system in Wales <ul><li>NHS Wales in Welsh Government </li></ul><ul><li>Seven health boards and three specialist trusts </li></ul><ul><li>22 unitary local authorities </li></ul>Lessons from home: the view from Wales
  6. 6. Restructuring objectives <ul><li>Fit with ‘One Wales’ coalition government agreement </li></ul><ul><li>Fit with Welsh culture and values: co-operation not competition </li></ul><ul><li>Integration and simplification </li></ul><ul><li>Appropriate to scale in Wales </li></ul>Lessons from home: the view from Wales
  7. 7. Public health in Wales <ul><li>2005: Establishment of National Public Health Service for Wales </li></ul><ul><ul><li>Included most specialist public health services and Public Health Laboratory Service </li></ul></ul><ul><ul><li>Reduced funding </li></ul></ul><ul><li>2006: Review by Public Health Resource Unit </li></ul><ul><li>2009: Reorganisation in line with NHS Wales </li></ul>Lessons from home: the view from Wales
  8. 8. Public health system in Wales <ul><li>NHS Wales </li></ul><ul><ul><li>including Chief Medical Officer and Department of Public Health and Health Professionals </li></ul></ul><ul><li>Seven health boards </li></ul><ul><ul><li>Population health responsibilities </li></ul></ul><ul><ul><li>Employ Directors of Public Health </li></ul></ul><ul><li>Public Health Wales </li></ul><ul><ul><li>Specialist public health services </li></ul></ul>Lessons from home: the view from Wales
  9. 9. Public Health Wales <ul><li>Incorporates the functions and services previously provided by: </li></ul><ul><ul><li>Congenital Anomaly Register and Information Service (CARIS) </li></ul></ul><ul><ul><li>National Public Health Service for Wales </li></ul></ul><ul><ul><li>Screening Services Wales </li></ul></ul><ul><ul><li>Wales Centre for Health </li></ul></ul><ul><ul><li>Welsh Cancer Intelligence and Surveillance Unit (WCISU) </li></ul></ul>Lessons from home: the view from Wales
  10. 10. Public Health Wales <ul><li>Established in 2009 at the same time as the restructuring of NHS Wales </li></ul><ul><li>1,200 staff </li></ul><ul><li>£82 million budget </li></ul><ul><li>More than 40 locations </li></ul><ul><li>Staff working in local teams, all Wales programmes and networked services </li></ul>Lessons from home: the view from Wales
  11. 11. Our ambition <ul><li>To achieve a healthier, happier and fairer Wales </li></ul><ul><li>We can only achieve this by working together with our stakeholders </li></ul>Lessons from home: the view from Wales
  12. 12. Directorate of Public Health Services <ul><li>Accounts for approximately 70 per cent of Public Health Wales staff </li></ul><ul><li>Responsible for the following divisions: </li></ul><ul><ul><li>Health Protection </li></ul></ul><ul><ul><li>Screening </li></ul></ul><ul><ul><li>Safeguarding </li></ul></ul>Lessons from home: the view from Wales
  13. 13. Directorate of Public Health Development <ul><li>Main link to the Directors of Public Health </li></ul><ul><ul><li>Seven local teams </li></ul></ul><ul><li>Responsible for: </li></ul><ul><ul><li>Health and Social Care Quality </li></ul></ul><ul><ul><li>Health Improvement </li></ul></ul><ul><ul><li>Health Intelligence including the Public Health Wales Observatory, Welsh Cancer Intelligence and Surveillance Unit </li></ul></ul>Lessons from home: the view from Wales
  14. 14. Reflections (1) <ul><li>NHS Wales system is simple </li></ul><ul><li>Public health system is complex </li></ul><ul><ul><li>Roles and relationships are complex and need time to develop </li></ul></ul><ul><li>Need to engage further with local government </li></ul><ul><ul><li>But joint planning embedded in system: Health, Social Care and Wellbeing Strategies </li></ul></ul>Lessons from home: the view from Wales
  15. 15. Reflections (2) <ul><li>Public health is centre stage </li></ul><ul><ul><li>Political support and consensus </li></ul></ul><ul><li>Integrated health system in Wales with public health at its core </li></ul><ul><ul><li>From Government to grass roots </li></ul></ul><ul><li>Integrated public health system by organisation and by domain </li></ul><ul><ul><li>Economies and efficiencies of scale </li></ul></ul>Lessons from home: the view from Wales
  16. 16. Reflections (3) <ul><li>Cross border issues need managing </li></ul><ul><ul><li>Health protection issues </li></ul></ul><ul><ul><li>Population movement </li></ul></ul><ul><li>System in Wales is not self sufficient </li></ul><ul><ul><li>Dependencies on HPA and FSA etc </li></ul></ul><ul><ul><li>Professional development </li></ul></ul><ul><ul><li>Research and development </li></ul></ul>Lessons from home: the view from Wales
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