Public Health Updates and Developments in NHS Wales - April 2012

1. All Wales Update 25 April 2012, National Forum National Forum – Bob Hudson Bob Hudson, Chief Executive

2. Presentation • Interim Lead Chief Executive role • Key appointments • Realignment project • Public health system working • Divisional developments • Director updates • Public Health Strategic Framework National Forum – Bob Hudson

3. Lead Chief Executive role • Interim role • Supporting role of the Welsh NHS Confederation • Collective working • A more effective voice for NHS Wales National Forum – Bob Hudson

4. Key appointments • Duncan Selby CEO Public Health England • Chief Medical Officer • Director of Finance and Performance • Director of Strategy-Abigail Harries • Directors of Public Health • ABMU Health Board – Sara Hayes • Powys Health Board • Hywel Dda Health Board National Forum – Bob Hudson

5. Realignment project • Transfer of functions completed by 1 April 2012 • Transfer of £6.73m to Public Health Wales • Health professional advisory functions unresolved National Forum – Bob Hudson

6. Public health system working • Proposal for use of consultant and principal sessions for All Wales work • Aim to create an aligned, flexible resource for key topics • Positive feedback • Implementation plan National Forum – Bob Hudson

7. Screening developments • Reports on screening for each health board area • Facilitation of vascular network development as part of the AAA Screening Project National Forum – Bob Hudson

8. Microbiology developments • North Wales microbiology review • Recommendations to be considered • South East Wales microbiology review • Options being agreed • Service redesign for weekends • CPA assessment • Implementation of Laboratory Information System (LIMS) National Forum – Bob Hudson

9. Health Protection developments • Single Performance Level Agreement being developed • Memorandum of Understanding with health boards being developed • Olympics preparedness • Out of hours surveillance National Forum – Bob Hudson

10. Safeguarding Children Service • Discussions about implementation of Professor Aylward’s report • Workshop in May • Appointment of new designated doctor National Forum – Bob Hudson

11. Health and Healthcare Improvement developments • Case for Change and National Clinical Forum • Child Poverty Strategy • Health Improvement Review • Health Improvement Board • Strategic vision for health improvement • Ensure biggest impact • Subject to Ministerial approval • International Health Coordinating Centre National Forum – Bob Hudson

12. Health Intelligence developments • Upper Super Output Area Wider Determinants of Health Reports • Health intelligence workshop • Public Health Wales Observatory Expert Advisory Group • Population Health Intelligence Network National Forum – Bob Hudson

13. Planning and performance • Refresh of Public Health Strategic Framework • Performance measures work • New vacancy control process • Sustainable development working group • Business continuity plans review • Administration Review National Forum – Bob Hudson

14. Finance • Break even - £2.8m savings in 2011/12 • Balanced budget agreed for 2012/13 • 1.5% savings required on all budgets • Reinvestment planned in priorities • Pressure on funding service developments • Further pressures will lead to focus on public health priorities • Use it or lose it! National Forum – Bob Hudson

15. Workforce and OD • Sickness absence at 3.9% (3.25% target) • Backlog of policies requiring formal consultation before approval • Assistant Director of Workforce started • Finalising arrangements to bring Velindre SLA work in house • Statutory and mandatory training • Strategic Equality Plan National Forum – Bob Hudson

16. Communications • Social media strategy • Public and stakeholder engagement strategy • Health improvement communications strategy • Reconsideration of groups and forums National Forum – Bob Hudson

17. Board Secretary • Board Development Plan • Publishing of Board Committee papers • Accommodation Strategy • Policy development and backlog • Changes to SLA with Velindre • Standards for Health Services Self Assessment National Forum – Bob Hudson

18. Public Health Strategic Framework • Refresh for 2012/13 – 2013/14 • Priorities • Review of health improvement • Reducing smoking prevalence • Reproductive and early years health pathfinder • Health inequities • NHS Wales service planning and service improvement National Forum – Bob Hudson

19. Public Health Strategic Framework (2) • Priorities (cont/d) • Implementation and reconfiguration of screening programmes • Reconfiguration of microbiology services • Surveillance of healthcare associated infections and antimicrobial resistance • For the Board to agree National Forum – Bob Hudson

20. Changing environment – policy context • Together for Health • System stress • English and Scottish Reforms • New Public Sector in Wales • Focus on delivery and outcomes • Government’s legislative programme Bob Hudson, Chief Executive

21. Changing environment – organisational context • Board and senior team complete – new members and now movement • New CMO • Realignment of functions • Maturing relations with Directors of Public Health • Developing local teams • Public health focus for health boards Bob Hudson, Chief Executive

22. Emerging themes • Policy orientated organisation • Health improvement system leadership • Compelling narrative • Manifesto for action • Staff development • Relationships • Media • New financial reality - year 3 of 5 year 20% challenge Bob Hudson, Chief Executive

23. Development phases • Establishment • Realignment • Development and delivery National Forum – Bob Hudson