Highlights from this month's PHE bulletin are local health profiles, Stoptober, tooth decay survey, chlamydia survey rates, and a new blog for PHE.
Guidance for the Commissioning of Locally Commissioned Pharmacy Services and Competency Assessment. (September 2013)
1. A New Model
3. Example Documents
4. Declaration of Qualification and Competence
5. Support for the new Model
Community Pharmacy Self-Assessment of Competence Group
These documents are for use by local authorities in public health commissioning services including sexual health services. The public health services contract 2013-14 is adaptable for use for a broad range of public health services and delivery models. It provides a framework to hold providers to account for the delivery of these services to achieve improved health outcomes. The integrated sexual health services national service specification is to help local authorities commission integrated sexual health care and can be used alongside the non mandatory public health services contract.
The LGA has launched a new resource for local government on community pharmacy with key messages for local authorities and health and wellbeing boards (HWBs). The document Community Pharmacy – Local Government’s new public health role highlights the important contribution that pharmacy can make to public health locally. Four main areas of common purpose identified are: Public health; Support for independent living; Making every contact count; and Sustaining communities and building social capital.
With locally commissioned services, Councils have taken on three interrelated functions: Pharmaceutical needs assessments; Commissioning some public health services; Supporting the development of community pharmacies as part of a broader strategic role (with HWBs).
The resource included useful case studies of community pharmacy and local councils working together and provides key messages to commission community pharmacy services effectively, including engagement and inclusion of Local Pharmaceutical Committees, and also key questions for local councils to raise with community pharmacy.
Public Health England (PHE) is the strategic leader for public health informatics in England. This strategy describes the priorities PHE proposes to support, articulates a vision and starts to outline the ways in which that vision could be realised. PHE is consulting on this draft strategy in order to take on board the thoughts of public health professionals in England and further afield.
The PHE Data and knowledge gateway gives direct access to analysis tools and resources for public health professionals from one single portal. Over 100 tools are available through the gateway. They cover a wide range of public health areas, including:
The tools serve a range of public health information needs, including the commissioning and planning of services, joint strategic needs assessment, health surveillance, understanding inequalities and variation, research and evidence. To visit the gateway, go to datagateway.phe.org.uk.
PHE’s email address from 1 April 2013 will be @phe.gov.uk and web address will be www.gov.uk/phe. Public Health England has adopted the Royal Coat of Arms as its corporate logo from 1 April, capitalising on research, which indicates the public have confidence in the Royal Arms.
This report is the third in a series of briefings reviewing changes in commissioning public health in England, with a particular focus on public health improvement. Based on in-depth interviews with a range of professionals working in public health and associated fields, it provides an update on health improvement commissioning as public health moves into local authorities, while also identifying key opportunities and challenges that arise as a result of the transition. For further information click on More
Public Health England centres will be responsible for assuring that the services and expertise provided focused on local needs. Its director will be a full partner in the local public health system, which includes the voluntary and community sector, and their role will be to provide a range of services and expert advice that is tailored to the needs, wishes and aspirations of local government, clinical commissioning groups and the local NHS.
Each centre will provide leadership and support across all three domains of public health – health protection, health improvement and healthcare public health. This will include:
working with the NHS Commissioning Board to support it in its role as a direct commissioner of key services, including specialist services and national public health programmes;
providing leadership in responding to emergencies where scale is necessary.
PHE’s four regions are coterminous with those of the NHS Commissioning Board and other national partners and they also map onto the nine regional local government groupings. Each will nurture, assure and support the local public health system and maintain an overview of the whole system’s progress in implementing the Public Health Outcomes Framework. They will have a special responsibility for workforce development.
PCC is offering to support public health teams in their new roles. Most local authority public health teams are now in post but face imminent challenges in commissioning services previously known as enhanced services including smoking cessation, sexual health promotion and health checks. PCC is able to advise public health teams with concerns about managing contracts, making the right payments to GPs and, where necessary, recommissioning services.
An overview of the vision and plans for the delivery of a public health surveillance strategy, as part of Public Health England ’s broader information strategy, has been published. To read on, please click here.
Duncan Selbie reports on a meeting with the national executive team about the goals for PHE, and meets new colleagues and close partners in the regions. For more information, please click here.
This report explores the role of district councils in the new public health system in England. It demonstrates the sector’s impact across the wider determinants of health improvement and health protection, and provides essential information for public health stakeholders including best practice case studies of service delivery and public health collaboration in two-tier areas. More ….
The ring-fenced grants for 2013/14 and 2014/15 provide local authorities with £2.66bn and £2.79bn to spend on public health services for their local populations. The funding for 2013/14 has been increased by 5.5% and by 5% in 2014/15, and a significant number of local authorities will see growth of 10% in each year, representing a major investment in health and the prevention of illness.
The Medicines and Healthcare products Regulatory Agency (MHRA) and Department of Health are amending medicines legislation to (i) enable Clinical Commissioning Groups and Local Authorities to authorise PGDs from April 2013; and, (ii) to ensure that existing PGDs with an expiry date after 31 March 2013 will continue to be legal until the PGD either expires or is replaced. These changes are consequential to the Health and Social Care Act 2012, and will enable the continued use of PGDs in new health system organisational structures.
The legislation will also incorporate transitional arrangements to ensure the continued availability of PGDs during organisational change, and to ensure that staff and organisations are not acting outside the law. These arrangements will allow PGDs to remain legal after the original authorising body (e.g. a PCT) has been abolished, and until expiry or authorisation by the new body responsible for the service in question. Responsibility for PGDs will transfer to these new bodies, and organisations ‘inheriting’ PGDs will need to put in place clear arrangements and a timetable for review and adoption/authorisation of all existing PGDs. Further advice is available in the FAQs section of this website. See links below.
The National Prescribing Centre (NPC) (now the Medicines and Prescribing Centre (MPC) at NICE) has published a practical guide and framework of competencies for organisations and professionals developing and using PGDs. See link below.
The MPC are reviewing this document, including to take account of changes to legislation and organisational structures, with the aim of re-publishing by April 2013. In advance of this updated edition, organisations delivering services under PGDs can still use the existing document to help guide them through the legal framework governing the development and authorisation of PGDs, and to provide practical guidance on their use.
For further information click on: Link to FAQ - when organisations merge/cease to exist, FAQ- is extension of PGD expiry dates allowed, and NPC PGD Guidance 2009
The DH has published a non-mandatory contract designed for use by local authorities in commissioning services to meet their new public health functions. It is adaptable for use for a broad range of public health services and delivery models. Although the contract is non-mandatory it provides a robust framework to hold providers to account for the delivery of high quality public health funded services to achieve improved health outcomes. A copy of the contract with accompanying guidance can be downloaded by clicking on contract.
The Department of Health has relaunched the ‘Catch it. Bin it. Kill it.’ campaign this month to encourage the public to adopt good respiratory and hand hygiene practices to help stem flu infections. You can find out more by clicking here.
The Department of Health has published a communications strategy to assist in planning its response to a potential flu pandemic. This is a companion document to the UK Influenza Pandemic Preparedness Strategy, published in November 2011, and the Health and Social Care Influenza Pandemic Preparedness and Response Guidance for the health and social care community, published in April 2012, and should be read alongside these. This strategy covers health-related communication in the stages leading up to a UK pandemic, during a pandemic itself, and during the recovery phase. It focuses on mainstream communications channels with targeted elements for specific audiences. For further information click on this Link
The public health outcomes framework for England sets out objectives for the public health system in the three years from April 2013. It consists of four domains and over 60 indicators for measuring progress. This document provides links to NICE guidance relevant to more than 40 of these indicators and shows how it can help local authorities tackle their public health priorities.
The NHS Commissioning Board (NHS CB) and the Department of Health have published their detailed agreement showing how the NHS CB will drive improvements in the health of England’s population through its commissioning of certain public health services. The agreement sets out the outcomes to be achieved in exercising these public health functions and provides ring fenced funding for the NHS CB to commission public health services.
The services commissioned as part of this agreement are those where there is, for example, alignment with national clinical pathways and added value of central commissioning. Read public health functions to be exercised by the NHS Commissioning Board
The services included in the agreement are:
national immunisation programmes
national routine screening programmes (non-cancer)
national routine cancer screening programmes
children’s public health services from pregnancy to age 5
child health information systems
public health services for people in prison and other places of detention
sexual assault referral centres
The agreement provides the NHS CB with £1.8bn from the public health budget for these programmes, in addition to other funding provided for public health in primary care. The agreement sets out how the NHS CB is accountable for the successful delivery of these programmes, and arrangements for expert support from Public Health England. It provides service specifications which include the public health evidence and advice needed to support effective commissioning.
This factsheet sets out how Public Health England will be structured to achieve its ambitions of protecting and improving health and wellbeing, while reducing health inequalities. It also shows the proposed structure for when the organisation comes into being in April 2013, and will be used as the basis for transition. It aims to provide a guide for staff who will join the new agency and for its partners.
Public health policy-making activities are currently split between local authority and NHS organisations. Despite an increasing body of research on evidence-based policy (EBP), few studies explore the process of policy-making. This paper reports on an analysis of public health policy making networks in Greater Manchester which are described. The analysis found that formal executive roles are loosely related to perceived influence and power. Evidence-seeking networks are less coherent, with key organisations not represented. These data indicate the importance of collaboration and good relationships between researchers and policy-makers, but few academic researchers with a direct impact on health policy were identified within the networks. For further information click on Abstract link (ScienceDirect)
Duncan Selbie, Chief Executive Designate, will take up his post from 1st July. PHE are currently finalising their organisation structure, a process which Duncan has been involved in. Duncan hopes to have his top team put in place over the summer, after which he will begin looking at recruiting for the rest of the organisation. In the meantime, Regional Directors of Public Health have been working closely together across the North of England, and are starting some initial work to help the design process for the new North sector for PHE.
In this month’s edition, Anita Marsland welcomes Duncan Selbie as the new Chief Executive Designate of Public Health England, and hear from Duncan himself as he gets to grips with his new role. The next steps following the Royal Assent of the Health and Social Care Bill are explained and Spotlight takes a look at the specialised services commissioning teams. Click on the links to view
Duncan Selbie has been confirmed as the chief executive designate of Public Health England. Mr Selbie, currently chief executive of Brighton & Sussex University Hospitals NHS Trust, will head up Public Health England (PHE), the new public health body that will be the expert voice for public health, when it is established in April 2013. It will support local health services, protect the nation’s health through better-integrated working, and help the public make healthier choices.
The Department of Health and the Local Government Association have developed an online resource to support the transition of public health to local government. It includes fact sheets, case studies, a glossary and policy summary. The transition of public health to local government from April 2013 is one of the most significant extensions of local government responsibilities in a generation. Transition plans are already in train and the councils will be working closely with their PCTs to put in place arrangements. The LGA have circulated a briefing to Chief Executives and Directors of Finance which summarises the Department of Health document published on 7 February on baseline spending estimates on public health. The briefing also gives the LGA's key messages in relation to public health funding and provides Chief Executives and Directors of Finance with advice on how they can assure themselves that the PCT estimate of public health spending will be adequate to meet the future resource requirements for public health from 2013. The LGA is calling for:
This report examines the future learning and development landscape for the wider public health workforce. The findings highlight the complexity of developing effective education and learning to support health improvement and the changes that will be needed to ensure that the workforce can operate effectively in the new environment.
NICE has published a press release relating to a “webinar” in which the Director of Public Health for NHS North Lancashire and President of the Association of Directors of Public Health said that NICE was needed to lead on providing evidence to local authorities. The Director of Public Health at NICE adds that NICE is in the process of developing public health briefings to make it easier for Directors of Public Health, elected members and senior officers in local authorities to find out which public health actions are most effective whilst also providing the best value for money. The briefings will focus on a wide range of topics (such as alcohol misuse, smoking and obesity) with the first of the briefings expected to be published in June this year. The deadline for comments on the draft guidance is 30th March 2012. Please see links for further details: EHI story, Working draft guidance and NICE press release
If you’re interested in finding out more about how to get involved in improving public health – as an employer, or through commercial actions or community activities – you can now get all the up-to-date information you need about the Public Health Responsibility Deal. You’ll find out what the Responsibility Deal is all about, as well as details on all the pledges and how they can be delivered, the current partners, and information on how to sign up.
To help the process of local decision-making around the public health transition, the Department and the Local Government Association have published a planning guide for local authorities and primary care trusts. The guide was co-produced with the NHS and local government to support PCTs and LAs as they develop transition plans for the transformation of the local public health system.