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PUBLIC HEALTH WORKFORCE

PUBLIC HEALTH WORKFORCE. LINCOLNSHIRE GOVERNMENT Isabel Perez, Consultant in Public Health 17 th 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?.

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PUBLIC HEALTH WORKFORCE

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  1. PUBLIC HEALTH WORKFORCE LINCOLNSHIRE GOVERNMENT Isabel Perez, Consultant in Public Health 17th June 2014

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

  3. 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

  4. Factors which influence health and health inequalities

  5. One year on key opportunities • Public Health became a local government responsibility in April 2013 for the first time since the 1970s • Health improvement is not new to local government • Council working in great projects • Span of influence much better • Major opportunities to skill up local government workforces in delivering on health improvement outcomes.

  6. One year on key opportunities • New perspectives • Politically aware • Wants and demands to add to needs • Moving towards focusing on commissioning and on quality assurance • Opportunity to breach the gap between health and social care • Health and Wellbeing Boards, Joint Strategic Needs Assessment, Joint Health and Wellbeing Strategies

  7. One year on key opportunities • Public Health Advice to CCGs • Independent professional view statutory function • Joining up working • Within council • Within County

  8. One year on challenges • A new public health system still in phase of implementation • Working out how the parts fit together • Changes, Changes and Changes ……… testing resilience • Continuing spending reductions across the public sector testing security and stability (peoples’ basic needs) • New ways of working, testing skills and competencies • Members versus officers • New processes for decision making

  9. One year on challenges • Maintaining objectivity • Evidence based decisions versus political driven • Maintaining identity • Public Health Function and PH directorate • Risk of loosing critical Mass • Risk of isolation of Public Health practitioners • Health improvement having to compete with a wide range of local issues

  10. One year on challenges • Ring fenced budget. For how long? What is the impact on capacity building? • Learning the language and culture of local government. • Capacity and recruitment

  11. SOLUTION?

  12. 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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