The Future of Health Improvement

The Future of Health Improvement

Update: The new Office for Health Improvement and Disparities (OHID) was launched on 1st October 2021. It will be led jointly by Dr Jeanelle de Gruchy as DCMO reporting to the CMO, and Jonathan Marron as Director General playing a key role with oversight of ‘pay and rations’. We called for local government to be at the heart of system leadership, and the appointment of Jeanelle is welcome. She has proven herself a very effective and independent public health leader in her role as President of ADPH, as well as a highly respected and experienced expert in delivering public health on the ground.

Alongside this announcement there were also further details on the structure of OHID and who will lead the new directorates. The full list is set out below:

  • Director General, OHID – Jonathan Marron (previously DG for Public Health)
  • DCMO, OHID – Dr Jeanelle de Gruchy (previously Director of Public Health in Tameside, and President of ADPH)
  • Director of Public Health Policy, Systems and Innovation – Cathy Morgan previously Director of Strategy at PHE)
  • Director of Diet, Obesity and Healthy Behaviours – Natasha Burgon (previously Principal Private Secretary to Sajid Javid)
  • Director of Addiction and Inclusion – Rosanna O’Connor (previously in very similar role and responsible for tobacco at PHE)
  • Director of Public Health Analysis – Professor John Newton (formerly Director of Health Improvement at PHE)
  • Director of Prevention Services – Gila Sacks
  • Director of Early Years, Children and Families – Liz Ketch
  • Joint DWP/DHSC Work & Health Unit – Dilys Alam
  • Chief Public Health Nurse – Professor Viv Bennett

Although there is still much to be clarified, overall the structure of the new public health system reflects much of what we called for and in the more detailed input that ASH made to the consultation on the new structure. However, we will need to continue to monitor the system as it evolves to ensure that it meets up to the six tests set out in our second joint statement.

Context
In response to the Government’s published timetable for the restructuring of public health announced on 15th September, leading health organisations and alliances set out six tests they believed Government proposals must pass to deliver truly world class outcomes in levelling-up health and securing a population resilient to future health risks.

The publication of these six tests followed the first joint statement endorsed by over 120 organisations across the health sector which sets out the principles a new public health system must be based on, to ensure delivery of the Government’s interlocking pledges to ‘level up’ society; significantly increase disability-free life years, while reducing inequalities; to improve mental health; reduce obesity and alcohol harm; and to end smoking.

The six tests were:

Test 1: Sufficient and secure funding to scale up health improvement interventions

Test 2: Sufficient high-quality public health experts in health protection, health improvement and healthcare public health functions

Test 3: The commitment and infrastructure to deliver health improvement at national, regional and local level

Test 4: A stronger health intelligence function which supports both health improvement and health protection and underpins accountability

Test 5: Improved co-ordination between the NHS and local government

Test 6: Strong relationships across health protection and health improvement across all four nations of the UK

Download the full statement including the detailed tests here.

    0
    organisations endorsed the First Joint Statement.
    0
    organisations endorsed the Second Joint Statement.

    The first joint statement is available here.

    Academy of Medical Royal Colleges
    Action on Pre-eclampsia
    Action on Salt
    Action on Smoking and Health (ASH)
    Action on Sugar
    Addictions and Mental Health Group University of Bath
    Alcohol Change UK
    Alcohol Health Alliance
    All Party Parliamentary Group on Infant Feeding and Inequalities
    All Party Parliamentary Group on Smoking and Health
    Alzheimer’s Research UK
    Arthritis and Musculoskeletal Alliance
    Association for Respiratory Technology & Physiology
    Association of Directors of Public Health
    Asthma UK and British Lung Foundation Partnership
    Baby Lifeline
    Balance
    Best Beginnings
    Better Breastfeeding
    Birth Companions
    Blood Pressure UK
    Breathe 2025
    Bristol City Council
    British Association for Nursing in Cardiovascular Care
    British Association for Sexual Health and HIV
    British Association of Sport Rehabilitators and Trainers
    British Association of Sports and Exercise Medicine
    British Dental Association
    British Heart Foundation
    British HIV Association
    British Liver Trust
    British Medical Association (BMA)
    British Thoracic Society
    Bury Council
    Cancer Research UK
    CancerWatch
    Catholics for AIDS Prevention and Support
    Centre for Ageing Better
    Centre for Mental Health
    Centre for Perioperative Care
    Chartered Society of Physiotherapy
    Community Practitioners and Health Visitors Association
    DECIPHer Cardiff University
    Diabetes Research and Wellness Foundation
    Diabetes UK
    Doctors’ Association UK
    European Public Health Alliance
    Faculty for Homeless and Inclusion Health
    Faculty of Public Health
    Fresh
    Gateshead Council
    Gay Men’s Health Collective
    GP Infant Feeding Network
    Greater Manchester Health and Social Care Partnership
    Group B Strep Support
    Health Action Campaign
    Health Equalities Group
    HENRY
    HIV i-Base
    Hospital Infant Feeding Network
    Humankind
    Imperial College London Self-Care Academic Research Unit
    Institute of Alcohol Studies
    Institute of Health Promotion and Education
    Institute of Health Visiting
    Institute of Social Marketing and Health University of Stirling
    Kit Tarka Foundation
    Lullaby Trust
    Maternal Mental Health Alliance
    Maternity Action
    Men’s Health Forum
    Mental Health and Addictions Research Group University of York
    Mental Health and Smoking Partnership
    Mental Health Foundation
    Mental Health Nurses Association
    METRO Charity
    Mind
    National AIDS Trust
    National Axial Spondyloarthritis Society
    National Centre for Smoking Cessation and Training
    National Rheumatoid Arthritis Society
    Nicotine Research Group, King’s College London
    Obesity Health Alliance
    Oral Health Foundation
    Oxpip
    Primary Care Respiratory Society
    Primary Care Rheumatology and Musculoskeletal Medicine Society
    Rethink Mental Illness
    Richmond Group
    Royal College of Anaesthetists
    Royal College of General Practitioners
    Royal College of Midwives
    Royal College of Obstetricians and Gynaecologists
    Royal College of Paediatrics and Child Health
    Royal College of Physicians
    Royal College of Psychiatrists
    Royal Society of Public Health
    Samaritans
    Sands
    Saving Lives UK
    Scottish Public Mental Health Special Interest Group
    Scottish Public Mental Health Special Interest Group
    Smokefree Action Coalition
    Smoking in Pregnancy Challenge Group
    Society of British Dental Nurses
    Sophia Forum
    South Tyneside Smokefree Alliance
    SPECTRUM
    Stockton-on-Tees Borough Council
    Sustrans
    Terrence Higgins Trust
    The Association of Schools of Public Health in the European Region
    The Brunswick Centre
    The College of Podiatry
    The Fatherhood Institute
    The Health Foundation
    The Hepatitis C Trust
    Tobacco Control Research Group University of Bath
    Turning Point
    UK Association for the Study of Obesity
    UK Community Advisory Board
    UK Public Health Network
    UK Society for Social Medicine and Population Health
    University College London Tobacco and Alcohol Research Group
    Versus Arthritis
    World Breastfeeding Trends Initiative UK Steering Group
    World Cancer Research Fund
    Academy of Medical Royal Colleges
    Action on Salt
    Action on Smoking and Health
    Action on Sugar
    Addictions and Mental Health Group University of Bath
    Ageing Better
    Alcohol Change UK
    Alcohol Health Alliance
    Alzheimer’s Research UK
    Arthritis and Musculoskeletal Alliance (ARMA)
    Association of Directors of Public Health (ADPH)
    Balance
    Better Breastfeeding
    Birth Companions
    Breathe 2025
    British Association for Nursing in Cardiovascular Care
    British Association for Sexual Health and HIV (BASHH)
    British Association for the Study of the Liver (BASL)
    British Association of Sport Rehabilitators (BASRaT)
    British Dental Association
    British Heart Foundation
    British HIV Association
    British Liver Trust
    British Thoracic Society
    Cancer Research UK
    CancerWatch
    Centre for Mental Health
    Diabetes UK
    Doctors’ Association UK
    Faculty for Homeless and Inclusion Health
    Faculty of Public Health
    Fresh
    Health Action Campaign
    Health Equalities Group
    HIV i-Base
    Hospital Infant Feeding Network
    Institute for Health Visiting
    Institute of Alcohol Studies
    Institute of Health Promotion and Education
    Local Government Association
    Lullaby Trust
    Mental Health and Addictions Research Group University of York
    METRO Charity
    Mind
    National AIDS Trust
    National Rheumatoid Arthritis Society (NRAS)Yes
    NHS Confederation
    Nicotine Research Group, King’s College London
    Primary Care Respiratory Society (PRCS)
    Richmond Group
    Royal College of Obstetricians and Gynaecologists
    Royal College of Physicians
    Samaritans
    Saving Lives UK
    Smokefree Action Coaltion
    SPECTRUM
    Sustrans
    Terrence Higgins Trust
    The Association of Schools of Public Health in the European Region
    The Health Foundation
    Tobacco Control Research Group University of Bath
    UK Public Health Network
    UK Society for Social Medicine and Population Health
    University College London Tobacco and Alcohol Research Group
    Versus Arthritis
    World Cancer Research Fund International