The document discusses the changing landscape of public health in the UK. It outlines the transition of public health services from the NHS to local authorities in 2012. It then describes the development of integrated care systems across the country from 2015 onward to coordinate health and social care at a local level. The document also provides examples of how public health approaches are being applied within secondary care settings and across wider systems.

1. The changing landscape
of public health
DavidJohns MPH, PhD, RD
Consultant in Public Health

3. CCG (IFRs, Commissioning etc.)
Nottingham Uni HospitalTrust
IntegratedCare System
Evaluation & Equity
Obesity (incl. our whole systems
approach)
Smoking cessation & tobacco
control
LongTerm Conditions
Oral health
Immunisations, vaccinations & screening
(NHSE Assurance)
Outbreaks (with PHE)
Environment(e.g. air quality)
Emergency Planning

4. A different NHS and a new
home for public health
Social CareAct (2012)

5. Primary Care
Specialised
services
Hospital services
Community
services
Ambulance
services
Mental health
Public Health
services

8. A place based vision of
the future
NHS planning guidance (2015)

10. 1) SouthYorkshire and Bassetlaw
2) Frimley Health and Care
3) Dorset
4) Bedfordshire, Luton and Milton Keynes
5) Nottinghamshire
6) Blackpool and Fylde Coast
7) West Berkshire
8) Buckinghamshire
9) Greater Manchester (devolution deal)
10) Surrey Heartlands (devolution deal)
11) Gloucestershire
12) WestYorkshire and Harrogate
13) Suffolk and North East Essex
14) North Cumbria
15) Cumbria and North East
16) South East London
17) Devon
18) Bristol
19) Norfolk
20) Oxford
2017: 10 fast-track ‘Accountable Care Systems’
2018: Renamed ‘IntegratedCare Systems’
2019: Third ICS wave

11. Source: GP registrations (March 2019)

14. Changing the way
secondary care thinks
Nottingham University Hospitals
Clinical Service Strategy & Prevention Strategy (2019)

15. Person-centred care & managing multiple health conditions
Clinical Priority Conditions/ ServiceAreas
for our population.
Prevention and Holistic Care
Delivering HighQuality Specialised Services
Clinical innovation & emerging technologies

16. Person-centred care & managing multiple health conditions
Clinical Priority Conditions/ ServiceAreas
for our population.
Prevention and Holistic Care
Delivering HighQuality Specialised Services
Clinical innovation & emerging technologies

18. Influencing and system
thinking
‘You can’t just commission your way out of….’
(@Scottylloyd1979, Public Health Practitioner, SouthTees)

20. The ‘un-level’ playing field…

21. #GoodHealthNottingham

24. The opportunities for
dietitians now…
‘Trust’ is about more than a title it’s about engaging and
showcasing skills

25. Evaluation Equity analysis Value
Briefintervention
PCNs PHM (need) Prevention strategy
Pathwayre-design

27. “