Working with the new Public Health structure. Dr Marion Gibbon Consultant in Public Health

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1 Working with the new Public Health structure Dr Marion Gibbon Consultant in Public Health

2 Outline Role of Public Health Public Health Structure before transition Public Health in local authorities Partnership working Examples of joint working in Kent Key information Top tips for successful working Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

3 Role of Public Health To be an independent advocate for the health of the public To provide advice to NHS commissioners To support health improvement To provide health protection Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

4 Public Health Structure before transition County council JSNA Public Health in PCT Voluntary sector District councils Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

5 Public Health Structure 2013 Public Health England Health Education England Health and Wellbeing board Upper tier local authorities Lower tier local authorities Clinical commissioning groups Local H&WBB Health and wellbeing strategy Joint Strategic Needs Assessment Commissioning support unit Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

6 Public Health in Local Authority Incorporate new public health functions in all activities of council Commission to reduce health inequalities Champion health across all local business Input into Joint Strategic Needs Assessment Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

7 Public Health in Local Authority Input into the Joint Health and Wellbeing Strategy Take steps to protect the health of the local population Ensure access to sexual health services Ensure the provision of NHS health checks Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

8 Partnership working at local level Public Health England Support local authorities with advice Deliver specific public health services Support the development of the PH workforce Health and Wellbeing board Support the implementation of JSNA recommendations and H&WB strategy Local authorities Local efforts to protect and improve health of the public Ensure health services effectively promote population health and reduce health inequalities NHS Commissioning Board Local public health commissioning teams NHS Clinical Commissioning Groups Commission care Tackle health inequalities Ensure that every contact counts Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

9 Examples of joint working in Kent Working with sport and physical activity to promote walking, cycling and more active lives Working with transport to promote cycling Developing the Healthy Club in conjunction with our Community Health Trust and local district councils to promote activities across Kent Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

10 Key information for schemes Opportunities Sharing a common vision for improving health and wellbeing Working in partnership Challenges Complexity of the new system Fragmentation of services Not knowing where responsibilities lie Policies Understanding national policy Taking the national and applying it locally Researching what the priorities are Contacts Local consultants in public health Local health and wellbeing boards Local officers in district councils Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

11 Top tips for working with public health 1. Working in partnership is key 2. Using evidence of what works 3. Basing initiatives on local needs 4. Contributing to reducing health inequalities 5. Being able to show outcomes 6. Building in evaluation from the beginning not as an afterthought Working with the new Public Health structure Dr. Marion Gibbon, Consultant in Public Health

12 Working With Public Health Alison Morby MBE Kirklees Council

13 The Alternative Guide to the new NHS in England

14 Health and Wellbeing Boards Responsible for the health and wellbeing of local people using collective resources to reduce health inequalities and address variances in the quality of health and social care No matter where they live, people in Kirklees live their lives confidently, in better health and for longer, and experience less inequality

15 Health and Wellbeing Boards Provides a structure to oversee Brings together leaders across sector Develops the Joint Strategic Needs Assessment (JSNA) Develop and own Joint Health and Wellbeing Strategy (JHWS) Ethos of partnership in planning, commissioning, delivery etc Collaborative work to reduce duplication, improve productivity Involve and engage service users, patients, wider public to influence / inform

16 Joint Strategic Needs Assessment (JSNA) Statutory responsibility Guides the development of the Joint Health and Wellbeing Strategy (JHWS) Current and future needs for adults and children Uses a range of quantitative and qualitative intelligence High level overview Live document

17 Joint Health and Wellbeing Strategy (JHWS) Sets a vision for improving health Wide range of stakeholders Focuses on things that can be done in partnership Kirklees JHWS has 2 components policy - strategic thinking framework implementation plan

18 Public Health how we keep the public healthy! To protect and improve health and wellbeing and reduce inequalities through key core roles: Strategic leadership Health protection Health improvement Lead commissioner Health intelligence Challenge the system Changing the thinking of organisations

19 Public Health Service Delivery Plan Commission services to increase the levels of physical activity in the local population Core indicators: Proportion of adults (1) Meeting the recommended guidelines for physical activity (5 x 30 / 150 minutes each week) (2) Who are inactive (less that 30 minutes each week)

20 The Rainbow Model

21 Working with your Public Health Team Understand your local structures Understand the evidence base Learn the language?! Know your public health priorities Know your public health physical activity lead Clarity on your offer / outcomes Evaluation and monitoring Sustainability