Upload
fuse-the-centre-for-translational-research-in-public-health
View
12
Download
2
Embed Size (px)
Citation preview
Centre for Public, Policy & Health
Making a Reality of the Wider Public Health in Local Government
Presented by David HunterProfessor of Health Policy & ManagementTuesday 7th March 2017
∂
Centre for Public Policy & Health
Welcome Return of Public Health to Local Government
Context conducive to wider conception of heath – not just about health care
Marmot City – all relevant organisations commit to work together
∂
Centre for Public Policy & Health
Focus on Embedding Marmot Six Giving every child the best start in life Enabling all children, young people
and adults to maximise their capabilities and have control over their lives
Creating fair employment and good work for all Ensuring a healthy standard of living for all Creating and developing healthy
places and communities Strengthening the role and impact of preventing
ill health
∂
Centre for Public Policy & Health
New World of Health and Wellbeing: People and Place-shaping
Health in All Policies (HiAP) Influencing the wider determinants of health Whole-of-government and whole-of-society
approaches Importance of whole system leadership and
‘soft power’
∂
Centre for Public Policy & Health
∂
Centre for Public Policy & Health
What is HiAP?
About governance/policy ideas based on collaboration, partnership, structured interaction and ongoing relationships
Needs to be integrated with other cross-cutting policy interests such as equity, sustainability and demography
About creating places (physical and social environment) which support and generate good health
∂
Centre for Public Policy & Health
∂
Centre for Public Policy & Health
Why is HiAP Needed? To meet challenge of ‘wicked problems’ To break down ‘siloed’ nature of government,
nationally and locally To promote intersectoral collaboration To share resources and reduce
duplication at a time of austerity
∂
Centre for Public Policy & Health
Why is HiAP Difficult to Implement?
Lack of institutional support Ineffective leadership Poorly planned or unclear objectives and
responsibilities Hostile stakeholders Weak enforcement Limited resources and capacity Unrealistic time frames
∂
Centre for Public Policy & Health
∂
Centre for Public Policy & Health
Examples of Fire Service's Wider Public Health Role under MECC
Helping support people with dementia Firefighters to be 'health champions' Tackling child obesity Reaching out to the most vulnerable Looking out for babies and toddlers Getting people active Working with others to save lives Reducing falls in the home
∂
Centre for Public Policy & Health
Lessons from Research on Partnerships
Policies and procedures need to be more streamlined – focus on outcomes not process and structure
Partnerships in practice can be rather messy constructs Tendency to over-engineer partnerships, often to the
exclusion of being clear about purpose and achievement
Structures are less important than relational factors such as trust and goodwill
Importance of leadership styles – collaborative, integrative and adaptive
∂
Centre for Public Policy & Health
The Challenge of System Leadership
Limits of top-down, command and control leadership
Leadership is shared, distributed, engaged, adaptive
Core characteristics: building alliances, persuasion, influence, political astuteness
Different set of skills and behaviours required
∂
Centre for Public Policy & Health
Rethinking Leadership Old notions of leadership as dynamic, decisive, authoritarian and
competitive are not well suited to complex environments System leadership requires well-developed skills of negotiation and
consultation to enable collaborative direction-setting and decision-making with other stakeholders
Good leadership is not only about the individual qualities of the leader but also about enabling the whole system to be supportive of innovation, an awareness and understanding of complexity and an appreciation of the perspectives of different stakeholders
Successful leaders understand complex adaptive systems and culture
∂
Centre for Public Policy & Health
Jazz as a Metaphor for System Leadership