Leading Through Change – The
Developing Role of Public Health
England
Paul Johnstone
Regional Director PHE North of England
• Progress and challenges for Public Health
England
• ‘own personal leadership journey through all
of this’
Localism
Health and Social Care Act (2012)
Sources of public health advice in the ‘Place-based’
approach to local public health
3rd sector
providers
People and communities
NHS & IS
Providers
Health and wellbeing boards
PHE
centre
Public health advice
Local government
CCGs &
their
support
Commissioner of public health services
NHSE
area team
What is Public Health England?
“Public Health England (PHE) is the expert national
public health agency which fulfils the Secretary of State
for Health’s statutory duty to protect health and address
inequalities, and executes his power to promote the
health and wellbeing of the nation.”
It has three key roles
• To protect the public’s health
• To improve the public’s health
• To reduce health inequalities
PHE Mission
“To protect and improve the
nation’s health and to address
inequalities, working with
national and local government,
the NHS, industry, academia, the
public and the voluntary and
community sector.”
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What we do
Public Health England:
– works transparently, proactively providing government, local government, the
NHS, MPs, industry, public health professionals and the public with evidencebased professional, scientific and delivery expertise and advice
– ensures there are effective arrangements in place nationally and locally for
preparing, planning and responding to health protection concerns and
emergencies, including the future impact of climate change
– supports local authorities, and through them clinical commissioning groups,
by providing evidence and knowledge on local health needs, alongside
practical and professional advice on what to do to improve health, and by
taking action nationally where it makes sense to do so
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What PHE offers
Tailored, bespoke agreements with
THE NHSCB AREA TEAMS
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Embedded staff for Screening & Immunisation &
Specialised Commissioning
Advice on offender public health, 0-5 healthy child
programme, dental PH and primary care
Support for wider health improvement agenda and
health strategy
Partner in EPPR and specialist role in health
protection
LOCAL GOVERNMENT
•
Professional support the DPH and their team
•
Advice to the Chief Executive and the
corporate team
•
Support to the Health and Wellbeing Board
•
Benchmarking data in partnership with the
NHSCB
A national agreement with
CLINICAL COMMISSIONING GROUPS
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Contribute to development of national resources which set
out the evidence base
Development support and expert advice on high impact
public health interventions and strategies
Locally relevant benchmarking data and intelligence to
inform commissioning decisions
Public health
advice to CCGs
comes from
the DPH
Four outcomes frameworks
Adult Social Care
Outcomes Framework
Public Health
Outcomes
Framework
NHS
Outcomes
Framework
Children’s Outcomes
Framework
Supporting local priorities
PHE has a key role in supporting the delivery of local
priorities – we are ensuring there is local capacity and
capability within PHE to provide this, through the 15
PHE Centres, across the four domains of the Public
Health Outcomes Framework
“Public Health England will exist to
serve the system, a system led
locally by elected members”
Duncan Selbie’s vision for PHE
Our priorities for
2013/14
– Sets out Public Health England’s
priorities and actions for the first
year of our existence
– Five outcome-focused priorities –
what we want to achieve
– Two supporting priorities –
how we will achieve it
– 27 key actions to take now
– The start of the conversation – a
three-year corporate plan will follow
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PHE’s National Priorities
REDUCING PREVENTABLE DEATHS
Helping people to live longer by reducing preventable deaths from
conditions such as heart disease, stroke, cancer and liver disease
REDUCING THE BURDEN OF DISEASE
Increasing healthy life expectancy by tackling conditions which place a
burden on many lives, such as anxiety, depression and back pain
PROTECTING THE COUNTRY’S HEALTH
Protecting the population from infectious diseases and environmental hazards,
including emerging risks and the growing problem of antimicrobial resistance
GIVING CHILDREN AND YOUNG PEOPLE THE BEST POSSIBLE START
Supporting families to give children the best start in life, through working with
health visitors, Family Nurse Partnerships and the Troubled Families Programme
IMPROVING HEALTH IN THE WORKPLACE
Helping employers to facilitate and encourage their staff to make healthy choices
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PHE’s local presence
– Four regions, fifteen centres
– Eight Knowledge and
Intelligence Hubs
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London
South West
South East
West Midlands
East Midlands
North West
Northern and Yorkshire
East
– Other local presence
– ten microbiology
laboratories
– field epidemiology teams
– Centre for Radiation, Chemicals
and Environmental Hazards units
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A structure based on professional public
health leadership
Advisory Board
Chief Executive
Director of Health
Protection and
Medical Director
Director of Health
and Wellbeing
Chief Knowledge
Officer
Director of
Strategy
Chief
Operating
Officer
Director of
Programmes
Finance and
Commercial
Director
Director of
Human
Resources
Regional and Centre
Directors and Microbiology Services
Director of
Nursing
Local focus
15 CENTRES
–
Led by a senior public health
professional
–
Led by a senior public health
professional
–
Deliver services and advice around
the three domains of public health
–
–
Support local government and local
NHS action to improve and protect
health and reduce inequalities with
intelligence and evidence
Ensure quality and consistency
and responsiveness of centres’
services and advice
–
Support transparency and
accountability of the system
–
Assurance of emergency planning
and response
–
Workforce development
–
Contribute to the national public
health agenda
–
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4 REGIONS
Deliver the local input to
emergency preparedness,
resilience and response
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Reflections
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2012 Reforms- biggest since 1948 and 1974
Opportunities and threats
Localism/ Local Gvt
test for national behaviours
– Role of national organisations in local delivery
– Role of Govt in protecting the public’s health
• Requires completely different leadership style
at every level
Behaviours (Duncan Selbie)
–Our effectiveness depends on how we behave, so we will:
• consistently spend our time on what we say we care about
• work together, not undermine each other
• speak well of each other, in public and in private
• behave well, especially when things go wrong
• keep our promises, small and large
• speak with candour and courage
Personal
• Realistic positive thinking
• Resilience: ‘Ability to bounce back from
adversity (Brooks)’
• Challenge, Control, Commitment (S Kobasa)
Personal Resilience
The 3 Cs (S Kobasa)
• Challenge- change as a chance to grow,
positives, confront and master not avoid
• Control- believe you can change your situation
for the better, focus on what you can control
• Commitment- passionate in pursuit and
remember the big picture. When you have
purpose and vision you are have sight on why
you are doing what you are doing- triggers
energy and passion