ITEM NO: 5 Report to: HEALTH AND WELLBEING BOARD

Date: 19 September 2013

Executive Member / Reporting Officer:

Councillor Lynn Travis, Executive Member Health and Neighbourhoods

Professor Martyn Regan, Centre Director, Public Health England

Subject: OVERVIEW OF PUBLIC HEALTH ENGLAND IN GREATER MANCHESTER

Report Summary: Presentation provides a summary of function and roles of Public Health England (PHE) and relationship to Health and Wellbeing Board

Recommendations: 1. Members are requested to receive and note the presentation

2. Members are invited to consider the implications of this overview for future policy of the Board

Links to Sustainable Community Strategy:

The outcome focused priorities of PHE align with the ambition of the Community and Health and Wellbeing Strategy.

Policy Implications: Members are invited to consider the implications of this overview for future policy of the Board.

Financial Implications: (Authorised by the Borough Treasurer)

There are no direct financial implications for the Health & Wellbeing Board relating to this report.

Legal Implications: (Authorised by the Borough Solicitor)

Essential to good governance is understanding the drivers of all the parties to the Health & Wellbeing Board

Access to Information : Any background papers relating to this report can be inspected by contacting Professor Martyn Regan, Centre Director, Public Health England

Telephone:0161 625 7455

e-mail: martyn.regan@phe.gov.uk

‘Over view of Public Health

England in Greater Manchester’

Professor Martyn Regan, Centre Director

Origins of Public Health England Healthy Lives, Healthy People white paper

– Published November 2010 to set out a new approach to public health

– Responsibility for local health improvement returned to local authorities from

1 April 2013

– Public Health England 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.

Health and Social Care Act 2012

– Set the legislative framework for the changes to the health and care system

that led to the creation of Public Health England as an operationally

autonomous executive agency of the Department of Health

– Received Royal Assent 27 March 2012

2

Mission

Presentation title - edit in Header and Footer

“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.”

3

What we do Public Health England:

– works transparently, proactively providing government, local government, the

NHS, MPs, industry, public health professionals and the public with evidence-

based 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

4

Structure – Public Health England

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Chief Executive

Director of Health

Protection and

Medical Director

Director of Health

and Wellbeing

Chief Knowledge

Officer

Director of

Nursing

Chief of Staff

Private

Office Secretariat

Internal

Audit

Corporate

Governance

Legal

Service

Director of

Strategy

Chief Operating

Officer

Director of

Programmes

Finance and

Commercial

Director

Director of

Human

Resources

Director of

Communications

Regional

Directors

Centre

Directors

Development

Advisor

Advisory Board

Microbiology

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Four regions, 15 centres

Eight Knowledge and

Intelligence Hubs

– London

– South West

– South East

– West Midlands

– East Midlands

– North West

– Northern and Yorkshire

– East

Other local presence

– ten microbiology laboratories

– field epidemiology teams

Additional support

– Local teams can also draw on national

scientific expertise based at Colindale,

Porton Down and Chilton

Local presence

Local focus

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– Led by a senior public health

professional

– 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

– 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

– Deliver the local input to

emergency preparedness,

resilience and response

15 CENTRES 4 REGIONS

Place-based approach to public health

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Public health advice

Health and wellbeing boards

Local government CCGs PHE

centre

NHSE

area team

• EPPR

• Screening and immunisation

• Offender public health programmes

• Specialised commissioning

• Primary care public health programmes

and population healthcare

NHS

providers

Non-

statutory

providers*

People and communities

*Including voluntary and community sector

Our priorities for

2013/14

Presentation title - edit in Header and Footer

– 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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Outcome-focused priorities

Presentation title - edit in Header and Footer

1. Helping people to live longer and more healthy lives by reducing preventable deaths and

the burden of ill health associated with smoking, high blood pressure, obesity, poor diet,

poor mental health, insufficient exercise, and alcohol

2. Reducing the burden of disease and disability in life by focusing on preventing and

recovering from the conditions with the greatest impact, including dementia, anxiety,

depression and drug dependency

3. Protecting the country from infectious diseases and environmental hazards, including the

growing problem of infections that resist treatment with antibiotics

4. Supporting families to give children and young people the best start in life, through

working with health visiting and school nursing, family nurse partnerships and the

Troubled Families programme

5. Improving health in the workplace by encouraging employers to support their staff, and

those moving into and out of the workforce, to lead healthier lives

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Supporting priorities

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6. Promoting the development of place-based public health systems

7. Developing our own capacity and capability to provide professional, scientific and delivery

expertise to our partners

12

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www.agma.gov.uk

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www.agma.gov.uk

Reducing Dependency and Demand

• Taking a Greater Manchester-wide approach which clearly

adds value to reform at district level, particularly to those

issues identified in our Community Budget proposals to

reduce current and future dependency; early years, troubled

families and transforming justice.

• Reform of the health and social care system based on

significantly improving outcomes from specialist acute

services and delivering a substantial reduction in unplanned

admissions to hospital and other care institutions

• Deployment of common tools and techniques to support cross

public service leadership at scale, including cost benefit

analysis, investment agreements and data sharing

15

Developing a shared vision for Greater Manchester

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www.gmphnetwork.org.uk

The published position

“Public Health England will exist to serve the system, a system led locally by

elected members”

Duncan Selbie’s “Vision for PHE”

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Public Health England’s overall mission will be:

• to protect and improve the health and wellbeing of the

population,

• to reduce inequalities in health and wellbeing outcomes.

It will do this in concert with the wider health and social care and

public health system, and with key delivery partners including local

government, the NHS, and Police and Crime Commissioners,

providing expert advice and services and showing national

leadership for the public health system.

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“The Greater Manchester PHE Centre Team”

The Greater Manchester PHE Centre Team

Centre Director

Health Protection Team Specialist Public Health Group Healthcare Services

Dental Public Health Healthcare Public Health

Local Offender Public Health

Immunisation and Screening Team

(embedded wth GM LAT)

Health Improvement

(Health and Well-being)

Health Improvement (Health and Well-Being) Alcohol & Drugs Business Management for Centre

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Bringing public health priorities into the Health and Well

Being Board Strategy