Dr Andrew Howe
Director of Public Health
London Boroughs of Barnet and Harrow
Reflections of a Director of Public Health
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The new landscape
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The opportunities for improving wellbeing
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The challenges ahead
The new landscape
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Since the 1st April 2013 Local Government has the duty to improve health
and wellbeing
Transition of public health teams
Health and Wellbeing Boards- JSNAs, Health and Wellbeing strategies
The role of the Director of Public Health
The ring fenced public health grant
Austerity
Fragmentation of the commissioning system – LAs, CCGs, NHS England
Performance management
Police and Crime Commissioners
Opportunities to improve wellbeing in the new system
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Building on previous achievements
Integration of the substance misuse agenda into Local Government
A focus on building social capital
Integration with the safeguarding agenda
Young peoples substance misuse services and transitions
Outreach services
Integrated commissioning and an integrated approach to substance misuse
treatment systems
SMS outcomes as Health and Wellbeing Strategy priorities and Council
corporate priorities/ Public Health Outcomes framework
Challenges ahead
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The role of recovery and long term maintenance
Maintaining prevention activities
Increasing alcohol treatment services
GP prescribing – an integrated system
Dual diagnosis – joining up the commissioning system
Optimising payment systems
Maintaining clinical governance
Developing workforce strategies
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ADPH, Box CC1320, Castle Court, Shire Hall,
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01223 706116
president@adph.org.uk