Creating a new Public Health Service for Sheffield – Sheffield City Council’s Perspective

1. Creating a new Public Health Service for Sheffield – Sheffield City Council’s Perspective Chris Shaw

2. What is the role of local Government? • Democratically elected body, part of the local state. Holds the ring on civil society in an area • Responsible for the economic, social and environmental wellbeing of citizens • Range of statutory functions including planning environmental health, children's services, etc • Provides, commissions, procures and grants, services to assist wellbeing • Advocates on behalf of its population to government

3. The role of local government in PH • Eroded since 1974 • Left to the NHS • Starting to reclaim • NHS White Paper – PH to Local Government

4. The role • Power of wellbeing • Providing health promoting and protective services • Planning for the population - spatially, services, housing, environmentally, socially, economically • Advocating • Democracy/Community Engagement • Protecting/Regulating • Major employer, economic development

5. What we do – the potential for PH! • Green space • Culture • Cohesion • Housing • Economy • Education • Spatial planning • Safeguarding • Health and safety • Food • Pollution • Early years • Procurement • Policy, research and city info • Transport, highways • Adult care • Children & young people • Equalities • Community involvement • Neighbourhood mgm • Clean streets • Community safety • Vulnerable people • Leisure • Trading standards • Occupational health • Environmental health • VCF sector • Public realm • Licensing • Climate change • Play • Legal • Registration • Skills and learning • Regeneration • Property • Emergency • Planning

6. Learning from history - • PH in local government was led by medical men for much of 19th and 20th centuries • People working for them, engineers, inspectors of nuisances, HVs • MoH, powerful influences on the work undertaken • MoH constrained - what council was willing to pay for and what it believed would be effective • Up to 1974 responsible for sanitation, prevention, housing, waste, health services for women and children, school health, etc • Since 1974, attention dwindled, some arguing why should we do it, it’s the NHS job?

7. However • Local government works on the root causes, not labelling them ‘health’ • Has pioneered esp in 80s and 90s, Agenda 21 • Long history in CD • Some areas adopted WHO Health For All, and several cities and towns became part of the healthy cities movement

8. PH – It’s not just the Health Bill that is relevant to PHKey Bills and Policies that may impact on LG and PH Eg, • Deficit reduction – cuts, takes precedence, ring fenced grants to go, benefits reducing, unemployment, deserving poor, impact on poor • Localism and Decentralisation • Big society – engagement and community organisers • Education and Early Years • Licensing and planning changes • Housing • Police Bill • Civil liberties • Jobs and economy

9. Sheffield City Council Key Priorities • Standing up for Sheffield • Supporting and protecting communities • Focusing on jobs • Business friendly

10. Sheffield City Council Key Outcomes • Standing up for Sheffield • A Strong and Competitive Economy • Better Health and Wellbeing • Successful Children and Young People • Tackling Poverty and Increasing Social Justice • A Great Place to Live • Safe and Secure Communities • An Environmentally Responsible City • Vibrant City • Supporting and protecting communities • Focusing on jobs • Business friendly

11. Sheffield City Council PH – already got: • DPW works across two organisations – but PCT post • Three joint consultant posts • Director of Health Improvement and small team • Several significant joint projects and strategies • Locality Health Plans • All Portfolios have health plan as part of business plans • Lead Cabinet Member • Strong social enterprise sector in health • PH Network • Health Champions • WHO status • Strong needs assessment and population analysis

12. Future Sheffield PH Vision • Public Health being led from the City Council will: • broaden the scope of public health activity, and so to have an impact on a much wider range of factors that determine health and ill-health for the people of Sheffield; • turn Sheffield City Council into a Public Health organisation to enable more mainstream spend upstream. • Aims: • to promote good health; • to prevent and tackle ill-health; • to reduce health inequalities; • to enable all of us as citizens to make healthier lifestyle choices; • to develop public health capacity and know-how across organisations and communities; • to provide PH leadership across the city.

13. PH the Future in Sheffield City Council • Transition Group and Work Streams • Hub and Spoke model – PHS responsible to EDs • Some PH to GPCC and PHC • Budget £40m – hope that £30m will transfer and 70 posts • PH being reorganised now in PCT • Change Programme Board and work streams • Two-day induction in the New Year • Member development • Work with GPs and GPCC re PH

14. PH the Future in Sheffield City Council • Fairness • Spend public money wisely • Long term view • Prevention • Enable individuals and communities • Aspirational • Working better together