Public Health

Baroness Northover Excerpts

Tuesday 30th November 2010 Lords Chamber

[Lord Alderdice]

My Lords, no one who has listened to and observed noble Lords on the Front and other Benches opposite would think other than that they are passionately committed to the health service and to the health of the nation. However, as they look back over the past 13 years, they would also observe that at the end of that time issues such as obesity, smoking, sexually transmitted diseases, mental health and the increasing disparity in morbidity between people who live in poor areas and better-off areas were uncompleted in terms of what they wanted to see. It therefore does not seem unreasonable to ask whether that was partly because the approach had reached the limits of its validity.

That is why, in welcoming the Statement, I ask my noble friend to address two brief questions. First, as we move towards more local responsibility for provision of public health, and the undertaking of that responsibility by local directors of health and local health and well-being committees, is there a recognition that that transition cannot happen without real input and help from Public Health England and from those experienced in delivering public health? It cannot be adopted at the drop of a hat. Secondly, when it is adopted—and different approaches will be taken in different areas, quite properly and, in many ways, more effectively—is there a recognition that Public Health England will also have a role in liaising with and providing a network among the directors of public health and health and well-being committees so that they can promote health in the way that we all want?

[Baroness Northover]

I remind noble Lords that we have a very short amount of time and that they should be extremely brief, either with a question or with a comment. They can do either but they should be as brief as possible. I shall try to be as fair as possible in getting around the House.

[Earl Howe]

My Lords, my noble friend asked a series of important questions. He has put his finger on how, in many senses, the system will be joined up. He is right to say that Public Health England will be instrumental in supporting local directors of public health in their task. We envisage that Public Health England will create a common sense of purpose and values among a widely dispersed group of workforces. We will develop a workforce strategy with representative organisations and publish that next year. That, I hope, will help to support a smooth transition. At the same time, we do not want to cramp the style of local directors of public health. Much will be down to local decision-making and, in particular, the individuals now employed in PCTs will be looking to transfer across to local authorities as the size and shape of public health teams materialises over the months ahead. We are not going to prescribe from above in determining how public health teams should be configured in local authorities, but there will be considerable support in the advice and expertise available from the centre.