- The document outlines strategies for improving public health in England, including establishing Public Health England and strengthening local public health leadership and resources. - It discusses priorities like reducing obesity, smoking, alcohol and drug abuse, and improving mental health. It also aims to decrease health inequalities between rich and poor areas. - Key elements include new public health systems, a public health outcomes framework, and allocating ring-fenced public health budgets to local authorities to commission public health programs.

1. Healthy Lives, Healthy People Our strategy for public health in England

9. Public Health Outcomes Framework – ALIGNMENT WITH NHS AND ASC Adult Social Care Public Health NHS Adult Social Care and Public Health: Maintaining good health and wellbeing. Preventing avoidable ill health or injury, including through reablement or intermediate care services and early intervention. Adult Social Care and NHS: Supported discharge from NHS to social care. Impact of reablement or intermediate care services on reducing repeat emergency admissions. Supporting carers and involving in care planning. ASC, NHS and Public Health: The focus of Joint Strategic Needs Assessment: shared local health and wellbeing issues for joint approaches. NHS and Public Health: Preventing ill health and lifestyle diseases and tackling their determinants. Awareness and early detection of major conditions

10. Department of Health Public Health England (within the Department of Health) Local authorities NHS commissioning architecture (Commissioning Board and Consortia) Providers Commissioning Commissioning Commissioning GPs NHS budget Health and wellbeing boards JSNA & Joint Strategic Health and Wellbeing Plans Public health budget Ring-fenced public health grant Funding for commissioning specific public health services integration integration Public health funding and commissioning

11. Defining commissioning responsibilities – examples - NHS Commissioning Board (cervical screening is included in GP contract) PHE will design, and provide the quality assurance and monitoring for all screening programmes All screening NHS treatment of overweight and obese patients, e.g. provision of brief advice during a primary care consultation, dietary advice in a healthcare setting, or bariatric surgery Local authority Local programmes to prevent and address obesity, e.g. delivering the National Child Measurement Programme and commissioning of weight management services Obesity programmes Treatment of infectious disease; co-operation with PHE on outbreak control and related activity PHE with supported role by local authorities Current functions of the Health Protection Activity in this area, and public health oversight of prevention and control, including co-ordination of outbreak management Infectious disease Examples of proposed associated activity to be funded by the NHS budget (including from all providers) Proposed commissioning route/s for activity (including any direct provision) Proposed activity to be funded from the new public health budget (provided across all sectors)