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Public Service Commissioning:
A public health perspective 
Carole Wood
Director of Public Health Gateshead
What commissioners want
• Outcomes
• Evidence
• Flexibility
• Value for money
• Engagement
• Competition
• Social value / added value
Commissioning is changing…
• Commissioning organisations –a new landscape
• Choice
• Market development
• Collaborative commissioning 
• Co‐design and co‐production: from passive recipient 
to active participant
• Personalisation and personal budgets
• Governance process and arrangements
Local authority responsibilities for public 
health from 1 April 2013
• Director of Public Health 
• Health and Wellbeing Boards
• “Duty to take such steps it considers appropriate to 
improve the health of the people in its area”
• Opportunity to widen and strengthen existing role in 
health improvement
• Ring‐fenced public health grant from national 
allocation to commission a range of services, some of 
which are mandatory
• Strategic needs assessment
• Public health outcomes framework
From illness to wellness
• New delivery models 
• Inequalities 
• Recognition of place shaping eg neighbourhood 
pride, social bridging and bonding
• Engagement
• Co‐production and self care
• Resilience of individuals and communities
• Mobilising local skills and assets
Five Ways to Wellbeing
• Connect
• Be active
• Take Notice
• Keep learning
• Give 
Tackling premature deaths due to smoking in 
Wrekenton
Creativity, ambition and working 
together 

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