Healthy Lives, Healthy People: The Public Health White Paper
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The white paper outlines plans to improve public health in England by: 1) Giving local authorities new responsibilities and funding to improve population health. 2) Establishing Public Health England to work with local authorities on public health. 3) Developing a new public health outcomes framework to monitor progress and provide incentives for health improvement.
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Healthy Lives, Healthy People: The Public Health White Paper
- 1. Healthy Lives, Healthy People: The Public Health White Paper Jon Burke NAVCA Development Adviser (Health and Social Care) Presented by Ben Smith VAL Development Officer
- 14. Transition to a new public health system Timetable (subject to Parliamentary approval of legislation) Date Consultation on The White Paper The public health outcomes framework The funding and commissioning of public health Dec 2010–March 2011 Set up a shadow-form Public Health England within the DH Start to set up working arrangements with local authorities Directors of Public Health appointed During 2011 Develop the public health professional workforce strategy Autumn 2011 Public Health England will take on full responsibilities Publish shadow public health ring-fenced allocations to local authorities April 2012
Editor's Notes
- Sir Michael Marmot’s report; Fair Society, Healthy Lives was a strategic review of health inequalities in England post-2010. The white paper adopts the aims of Sir Michael Marmot’s report; Fair Society, Healthy Lives, in tackling the wider social determinants of health and stronger support for early years. The vision for adult social care also intends to deliver the best social care outcomes for citizens and helps to build the Big Society.
- Public Health England will strengthen the national response on emergency preparedness and health protection. For example it will be responsible for funding immunisation and all national screening programmes Directors of Public Health will be the strategic leaders for public health and health inequalities in local communities but they will have to work in partnership with the local NHS and across the public, private and voluntary sectors.
- Local authorities will want to contract for services with a wide range of providers. Also those organisations will be incentivised and rewarded for improving health and wellbeing outcomes and tackling inequalities, to deliver best value for their population.
- The Department of Health believes local authorities may use grant funding to build capable and confident communities and to support preventive community-focused activities, such as volunteering peer support, befriending and social networks.
- Although the NHS Health Check Programme will be provided by GP Practices, it will include lifestyle interventions commissioned and funded by the local authority such as smoking cessation and weight management services. Also Local authorities will take responsibility for funding and commissioning mental wellbeing services but treatment of mental ill health will be funded and commissioned by the NHS. It will then be up to Health and wellbeing boards to ensure appropriate integration of these different perspectives.
- The health and wellbeing board will provide a forum in which elected representatives, such as local mayors or councillors, DsPH, Children and Adult Services, GP consortia, the NHS Commissioning Board where necessary, HealthWatch and potentially local community and voluntary organisations
- Disadvantaged areas will see a greater premium if they make progress, recognising that they face the greatest challenges, and with payments which reflect achievement, not the ability to negotiate a less stretching target. There would be a sliding scale depending on the size and extent of a local authority’s progress and relative to the authority’s position in terms of relative health outcomes
- The government propose a new outcomes framework for public health. They say this will be based on what councils and voluntary organisations and communities have said. They believe a co-produced and nationally applicable Outcomes Framework is the best vehicle for combining requirements in one place and that this Outcomes Framework should have three purposes: