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The Changing Policy Landscape: Reflections and Looking to the Future

The Changing Policy Landscape: Reflections and Looking to the Future. Presented by David Hunter Professor of Health Policy & Management 1 st July 2014. Concluding Reflections (1). Is the glass half-empty?

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The Changing Policy Landscape: Reflections and Looking to the Future

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  1. The Changing Policy Landscape: Reflections and Looking to the Future Presented by David Hunter Professor of Health Policy & Management 1st July 2014

  2. Concluding Reflections (1) • Is the glass half-empty? • Demise of the public health profession as we know it: future of specialist-practitioner-wider workforce paradigm at risk • End of DsPH as we know them • Emergence of a divided and fragmented workforce split between different cultures • Failure to recognise and invest in public health skills training • Devaluing the evidence base in political world of local government • Time of austerity: public spending cuts

  3. Concluding Reflections (2) • Is the glass half-full? • Transform the way public health is conceived and delivered • Break away from the shackles of a biomedical model and embrace a social model: from a deficit to an assets-based approach • Develop new skills and competencies – not a case of preserving the old and familiar • Embed new leadership style focused on influencing others engaged in health improvement and wellbeing • Use of ring-fenced public health budget to lever in resources from elsewhere

  4. Raiding the Public Health Budget BMJ March 2014 • Public health's voice drowned out in local government • Many LAs used PH funds to support wider Council services vulnerable to cuts • Dilution of PH - 'robbing Peter to pay Paul' • PH grant 'a resource to be raided' by LAs • Removal of PH functions from NHS will weaken PH • PH able to exert more influence in LG than in NHS • Reviewing where money has been spent and doing things differently is welcome

  5. Recent Policy Announcements

  6. Unfinished Business (1) • Statins • Assault on sugar • Plain Packaging • E-cigarettes • Where is public health on the national agenda?

  7. Unfinished Business (2) • Integrated care • Better Care Fund • Health and Wellbeing Boards: are expectations too high?

  8. Unfinished Business (3) • Lacks independence • Must be credible and authoritative • How is Public Health England being viewed?

  9. New NHS CEO – Good for Public Health?

  10. WHO Europe Health 2020

  11. Key Principles Underpinning Health 2020 • Renewed emphasis on public health • Health is wealth • Health inequalities must be redressed • Health systems are more than just health care • Whole of society and whole of government approaches needed • Systems thinking approach adopted to analyse problems and devise solutions • From analysis to supporting delivery

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