Local Authority Perspective presentation

January 8, 2018 | Author: Anonymous | Category: Social Science, Political Science, Civics
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PUBLIC HEALTH WORKFORCE LINCOLNSHIRE GOVERNMENT Isabel Perez, Consultant in Public Health 17th June 2014

OBJECTIVE • To have a better understanding of the opportunities and challenges of Public Health in local government one year on

What is public health? The science and the art of improving health, prolonging life and preventing disease through the organised efforts of society • Health improvement and health promotion eg lifestyles, wider determinants of health • Health protection eg communicable disease control, emergency planning, screening • Healthcare public health eg needs assessment, evidence of effectiveness and cost effectiveness

Factors which influence health and health inequalities

One year on key opportunities 1

Public Health became a local government responsibility in April

2013 for the first time since the 1970s 2

Health improvement is not new to local government •

Council working in great projects



Span of influence much better



Major

opportunities

workforces outcomes.

in

to

skill

delivering

on

up

local

health

government improvement

One year on key opportunities 3. New perspectives



Politically aware



Wants and demands to add to needs

4. Moving towards focusing on commissioning and on quality

assurance 5. Opportunity to breach the gap between health and social care 6. Health

and

Wellbeing

Boards,

Joint

Strategic

Assessment, Joint Health and Wellbeing Strategies

Needs

One year on key opportunities 5. Public Health Advice to CCGs

6. Independent professional view statutory function 7. Joining up working •

Within council



Within County

One year on challenges 1

A new public health system still in phase of implementation

• Working out how the parts fit together 2

Changes, Changes and Changes ……… testing resilience

3

Continuing spending reductions across the public sector testing security and stability (peoples’ basic needs)

4

New ways of working, testing skills and competencies • Members versus officers • New processes for decision making

One year on challenges 5

Maintaining objectivity

• Evidence based decisions versus political driven 6

Maintaining identity Public Health Function and PH directorate

Risk of loosing critical Mass Risk of isolation of Public Health practitioners 7

Health improvement having to compete with a wide range of

local issues

One year on challenges 8

Ring fenced budget. For how long? What is the impact on

capacity building? 9

Learning the language and culture of local government.

10 Capacity and recruitment

SOLUTION?

Solution

"We can't solve problems by using the same kind of thinking we used when we created them.” (Albert Einstein)

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