what does the future of public health services look like?Old world meets new

what does the future of public health services look like? 


Really really interesting event last week at the Nuff


I must have been deemed “special”… as it was an invite only event


I don’t know what I did to deserve special status, but hey…..I went all the same. So glad I did.



Opened was a presentation from Alisia Davies about the recent quality watch report on the PH Grant cuts. Brilliant report.

Was an interesting piece of work – and worth a read

In a nutshell

· 20 indicators considered – the usual list – drugs, booze, sex, pies, cigs, etc etc….

· Since moving to LA and esp since cuts 10 continued to improve, 6 deteriorated (esp sexual health deteriorating – a concern)

· Drugs – ?improving. Moving to a more integrated model of commissioning. Drugs in context of whole life, housing, training, exit routes etc.

· Booze – more problematic

· Cigs – quit dates set plummeted. E cigs?


Issues and opportunities

· Wider agenda

· Fragmentation of system

· PH input into NHS commissioning (are we really that bothered)

· £ challenges may mean we all retreat into trenches








My own reflection

What I heard from the (excellent) Nuff / Q Watch report was  the world we left, the PH Grant, that I suppose we are responsible for



What I heard from the 2 (amazing) DsPH was most definitely the new world 

· this was a living example of the opportunity.

· Anna Raleigh – Richmond Council & Jane Moore – Coventry

· Both gave extraordinary insights into how they are “doing” public health in local govt.


some stuff to consider early / my 10 take home lessons.

Use of budget and skills

1. use your (tiny) budget wisely and strategically

2. use your skills and position to influence others (to do what they largely already want to do – prevent stuff). go play with new people and partners

3. use your skills and apply them to any problem that you want. Historically our lot have done this in NHS, now do it in jobs, poverty, housing etc

4. Really develop new insights into problems and act on those insights. Use the assets you’ve already got to get those insights.

5. Use of behavioural economic techniques to achieve behaviour change at scale.

6. Health is an asset to the economy and economic growth. View health through this lens and you will make more friends than “banging on about health” all the time

7. Doing more of the same will lead to more of the same. Do something different.

8. Use the power of social networks to increase reach.

9. Use diffuse leadership – don’t “own” things, but inspire others to. Set agenda and create culture.

10. Help people – “the system cant make people healthy, people can make people healthy. The system can help the healthy choice be the default or easiest”


targets of early thinking

1. The key things that are consistently most important we: – Jobs and employment / Homes / Health and well being

2. think through what does “prevention” look like from different lenses – police, social care, housing, health, schools etc etc. Remember “health” and “police” are not homogenous – different messages be pertinent to different chunks of that system.

3. Translate stuff between systems. Connect different systems together in ways they may not have been connected.



other stuff

1. everyone says getting a shared data function for the whole city, as granular as possible. Critical

2. digital by default in the design and implementation of behaviour change services. Web offer. Frees up human time to focus on more vulnerable groups. Of relevance to all behaviour change services?

3. Quality of relationships matters – esp q of relationships with local communities. Talk to them, be open and transparent.

4. What are the early wins. Go and win them. Develop the business cases for big chunks of work you want to see through



I left wondering whether I could measure up to the two DPH that I heard!





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