View
1.373
Download
0
Category
Tags:
Preview:
DESCRIPTION
Bob Hudson, Chief Executive of Public Health Wales, gives an overview of the Welsh public health system and how it fits within wider changes to the NHS in Wales.
Citation preview
About Public Health Wales
Lessons from home: the view from Wales
13 July 2011
Bob Hudson, Chief Executive, Public Health Wales
Presentation
• Health in Wales• NHS Wales restructuring in 2009• Public Health system in Wales• Reflections
Lessons from home: the view from Wales
Health in Wales
• Health of the population in Wales continues to improve
But• Health is worse in Wales than England, Scotland and Northern Ireland
• Health inequities remain stark and resistant to change
Lessons from home: the view from Wales
NHS Wales restructuring
• Replacement of 22 Local Health Boards and 10 NHS Trusts with seven health boards and three specialist NHS trusts
• Abolition of the internal market • Changes introduced in October 2009
Lessons from home: the view from Wales
Health system in Wales
• NHS Wales in Welsh Government• Seven health boards and three specialist trusts
• 22 unitary local authorities
Lessons from home: the view from Wales
Restructuring objectives
• Fit with ‘One Wales’ coalition government agreement
• Fit with Welsh culture and values: co-operation not competition
• Integration and simplification• Appropriate to scale in Wales
Lessons from home: the view from Wales
Public health in Wales• 2005: Establishment of National Public Health Service for Wales– Included most specialist public health services and Public Health Laboratory Service
– Reduced funding
• 2006: Review by Public Health Resource Unit
• 2009: Reorganisation in line with NHS Wales
Lessons from home: the view from Wales
Public health system in Wales• NHS Wales
– including Chief Medical Officer and Department of Public Health and Health Professionals
• Seven health boards – Population health responsibilities– Employ Directors of Public Health
• Public Health Wales– Specialist public health services
Lessons from home: the view from Wales
Public Health Wales
• Incorporates the functions and services previously provided by:– Congenital Anomaly Register and Information Service (CARIS)
– National Public Health Service for Wales– Screening Services Wales– Wales Centre for Health– Welsh Cancer Intelligence and Surveillance Unit (WCISU)
Lessons from home: the view from Wales
Public Health Wales
• Established in 2009 at the same time as the restructuring of NHS Wales
• 1,200 staff• £82 million budget• More than 40 locations• Staff working in local teams, all Wales programmes and networked services
Lessons from home: the view from Wales
Our ambition
• To achieve a healthier, happier and fairer Wales
• We can only achieve this by working together with our stakeholders
Lessons from home: the view from Wales
Directorate of Public Health Services• Accounts for approximately 70 per cent of Public Health Wales staff
• Responsible for the following divisions:– Health Protection– Screening– Safeguarding
Lessons from home: the view from Wales
Directorate of Public Health Development• Main link to the Directors of Public Health– Seven local teams
• Responsible for:– Health and Social Care Quality – Health Improvement– Health Intelligence including the Public Health Wales Observatory, Welsh Cancer Intelligence and Surveillance Unit
Lessons from home: the view from Wales
Reflections (1)
• NHS Wales system is simple• Public health system is complex
– Roles and relationships are complex and need time to develop
• Need to engage further with local government– But joint planning embedded in system: Health, Social Care and Wellbeing Strategies
Lessons from home: the view from Wales
Reflections (2)
• Public health is centre stage– Political support and consensus
• Integrated health system in Wales with public health at its core– From Government to grass roots
• Integrated public health system by organisation and by domain– Economies and efficiencies of scale
Lessons from home: the view from Wales
Reflections (3)
• Cross border issues need managing– Health protection issues– Population movement
• System in Wales is not self sufficient– Dependencies on HPA and FSA etc– Professional development– Research and development
Lessons from home: the view from Wales
Recommended