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Showing posts from January, 2022

Why money spend on public health is a good value investment not a cost drain

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 (a repost of an earlier blog, but on new platform)  This is a long version of the blog published on the  UK public health network  site. TBF the editing into a short format was a good job, and corrected my normal bad spelling. Here is the full version. We are emerging (we hope) tentatively from the most significant public health crisis of our lifetimes. Never before has the spotlight been on “public health”. One of our challenges will be picking up where we left off prior to putting all our focus into covid response (whilst maintaining our health protection response  on covid) and getting into how public health professionals can shape the recovery. The direct and indirect health and well being consequences of covid will shape our lives for a generation Much is talked about “building back better” and a “new normal”. This is laudable, it wont happen by magic. It will have to be activity built, the policy environment will need to support the goals we want to...

An investment strategy for population health (1)

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 a repost of an earlier blog, on new platform Healthcare is eating other public service funding   so says the ex editor of the BMJ. This   blog from Mathew Whittaker   sets out how the austerity policy and   political priorities pursued by successive governments have placed major strain on a number of public services. He argues that, as a result, the size of the state has changed over the past decade and so too has its shape. “Local government budget is on course to have been cut by 77% in 2020-21 relative to a 2009-10 baseline when measured on a per-capita basis. Other departments have fared only a little better, with real-terms per-capita spending down by a half in Housing and Communities, Transport and Work and Pensions, and by a third in Scotland, BEIS, DEFRA and Justice.”   It is worth noting the changing proportions of government spending to “health” (the NHS) out to 2070. The  IFS analysis  of local government spending highlighted broadly t...

Directors of Public Health, what is the role in Integrated Care Systems

  A short note on what it is we might want DsPH to be and do in the context of emerging ICS a few asking me this q of late  In no especial order my thoughts on it here   1             What IS the DPH role. My working list is as follows   Orient the conversation around a pop h capability to support the strategy  and  operations of the ICS. Given a free hand I would spend most energy on ensuring the right analytic capability and data access to people who know what to do with that data.   be a system leader – help shape and define the purpose. Is it about the service delivery footprint of the NHS vs outcomes delivered by those services vs something bigger than NHS footprint itself (of which the NHS is a part), population health outcomes developing the narrative and story supporting the ICS to develop and implement the right strategy to...

Anchor Institutions, their contribution to inclusive economy strategies

 this is a speaking note from a presentation for a Health Foundation webinar on the interface between economic policy and health  again, short form. No full sentences please steal in any way you want   1             Why Why is this issue important? SDOH Previous approaches have not been seemingly successful as we wanted Map of deprivation from the 80s is largely akin to now – aka regeneration has failed Funding injections didn’t address the mainstream commitment of £ base – the institutions we want to continue to support This is a route into permanent change of the way an economy works (at least the public economy) And thus we never corrected the problems in our view of allocative value in the mainstream (in everyday language we failed to shift upstream). To address health inequalities you need to address social and economic inequalities 20% is health care – access and quality Here is an...