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Master
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Public
Health
England
Dr Ruth Hussey OBE
Director,
Health
England
Transition
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13 May 2011
The case for change
• Disease patterns are changing:
• we are living longer – but with significant inequalities in life
expectancy and ill health
• But there are unresolved challenges, influenced by our lifestyles and
social issues:
• Circulatory diseases, respiratory diseases and cancers
• Mental ill-health
• impact of long-term conditions
• New health threats (and persistent old ones)
Time to change our approach to public health
A radical new approach
• Owned and driven by local communities
• Addressing the root causes of poor health and wellbeing
• Holistic approach to wellness
• Reaching those who need the most support
• Professionally-led public health service, focused on
evidence
• Strengthened protection against health threats
• Prevention embedded within the NHS
Public Health England
• The new integrated national public health service
• Part of the Department of Health
• Bringing the HPA, NTA, observatories, cancer registries
and some DH and SHA functions into a new organisation
• Leadership nationally on key issues and functions
• Maintain a strong relationship with local government, the
NHS and a range of stakeholders
• DsPH jointly appointed to PHE and their local authority
DH and Public Health England
transition governance
Departmental Board
Chair: Secretary of State
NHS
Management
Board
DH Executive Board
Chair: Una O’Brien
Transition Programme
Board
Chair: Richard Douglas
DH and Local Government
Programme Board
David Behan &
Anita Marsland
PHE: Transition
Executive Team
Anita Marsland
PHE transition team and
work programmes
PHE: Programme Board
Anita Marsland
Vice Chair: Justin
McCracken
Public Health England:
transition team
Anita Marsland
Transition Managing Director of PHE
Janice Shersby
Programme Director PHE
Transition Team
Jonathan Marron
Programme Director, PHE
Transition Team
Work programmes and teams:
• accountability and governance
• organisational design
• information and intelligence
Dr Ruth Hussey OBE
Director, PHE
Transition Team
• Professional leadership
• HR and workforce
• finance, estates, IT, procurement
• communications and engagement
White Paper consultation and
response
• Consultation on the white paper closed on 31 March.
• Successful engagement process:
• Over 2,100 written responses, many substantive and detailed,
offering new insights and thoughts
• DH held 60 consultation events and supported over 100 more
• We are preparing a response document – a ‘command paper’ –
covering all public health consultations. This will set out direction of
travel and next steps for transition. Due in the summer.
Listening exercise and the
NHS Future Forum
• Natural break in the Bill process to pause, listen, reflect on and
improve NHS modernisation plan.
• Recognise there are some questions and concerns about the
modernisation plan and mechanics of putting this plan in place
• NHS Future Forum to bring together patient representatives,
clinicians and others to listen and report back to the Government.
• Dr Frank Atherton, President of the ADPH, is a member of the
Forum.
Engagement, learning and adaptation at the heart of effective
implementation – not a one-off
The listening exercise:
impact on public health reforms
•
NHS Future Forum will report to Government in the next few weeks.
•
All statutory changes due to take place in April 2012 will now take place
no earlier than July 2012, including:
– Assumption of full powers of PHE
– Transfer of functions from arms length bodies, including HPA & NTA
– Abolition of SHAs
•
Creation of shadow bodies and appointment of senior staff to these
organisations delayed to allow time for this engagement process
•
Proposed timelines for GP consortia to take control of commissioning
remains at April 2013, as does statutory powers of Health and
Wellbeing Boards.
An updated view of implementation – to July 2012
2012
2011
An overview of implementation
Apri
l
July
Oct
Preparation
April
Building new organisation
Establish the new PHE
PH WP
consultation
Jan
Agree framework
doc, PHE top
structure, locations
Build PHE business
plan, prep for 2011/12
PHE structure design
PHE Framework
doc
July
Live PHE
COO and Senior mgt
team in place, so can
map all future staff into
new structure
Recruit/ Appoint PHE COO & Exec Team
PHE “live”
People
Write People
trans’n policies
Map all staff to new
structure
Staff consultation re mapping
Plan /manage people & HR transition – DH, NHS, HPA, NTA, PHOs
Finance, Estates, assets,
infrastructure
Develop transition plans for
HPA, NTA, PHO
Manage delivery of transition of HPA, NTA, PHOs to PHE (finance, systems,
estates, assets)
Establish finance processes, systems, arrangements, allocations for new PHE
PH Due diligence
Agree locations
Agree req’d IT changes
Plan, prepare accommodation and info systems
Develop new PH System
Develop op’g model for system,
PHE, link to LAs
Develop PH Budget,
Plan people/ budget transition to LAs
Work with Las to transfer PH responsibilities to LAs
Establish PH Budget
Establish shadow PH
budgets for LAs
HPA, NTA, PHOs
staff and assets
transitioned into
PHE
Contact details and further
information
• NHS Future Forum and listening exercise: how to share your
views:
www.dh.gov.uk/healthandcare
• Contacting the Public Health England Transition Team
email: PublicHealthEngagement@dh.gsi.gov.uk
• Information about the overall modernisation process (and where
publications are letters are stored):
http://healthandcare.dh.gov.uk/