Table 1 Main agencies involved in public health post-2013
From: The use of evidence in English local public health decision-making: a systematic scoping review
Name | Geographic remit (in England) | Post-2013 broad responsibilitiesa |
|---|---|---|
Organisations with statutory duties | ||
Local authorities (LAs) | Local | Responsible for planning and commissioning most local public health services (see above) |
Clinical commissioning groups (CCGs) | Local | Retain some related public health functions including provision of Child and Adolescent Mental Health Services (CAMHS) and mental health services, occupational health, maternity services and commissioning of alcohol workers in various settings (although overall responsibility for alcohol misuse services, prevention and treatment sits with LAs) [64]. (221 CCGs) |
Health and wellbeing boards (HWBs) | Local | Coordinate activity of local health and care leaders to improve population health, reduce health inequalities and introduce democratic accountability [65]. |
National Institute for Health and Care Excellence (NICE) | National | Issues guidance on the effectiveness of interventions that can improve population health and reduce health inequalities. |
Public Health England (PHE) | National | Provide support, epidemiological guidance and research for LAs and coordination of national public health initiatives and campaigns; includes former Public Health Observatories |
Greater London Authority (GLA); Greater Manchester Public Health Network (GMPH) (and other regional organisations) | Regional | GLA issues guidance and collects and synthesises epidemiological and demographic research for London Boroughs and also issues various toolkits for action. |
GMPH is a collaborative network of ten directors of public health working together to achieve goals that could not be realised individually. | ||
Other regional organisations and networks exist. | ||
NHS England/NHS Commissioning Board | National | Provides oversight of CCGs; specific functions around the commissioning of primary care; retained some screening functions. |
Department of Health | National | Retains stewardship over relevant agencies including Public Health England, NHS England and the Health and Social Care Information Centre. |
Other types of organisation | ||
King’s Fund, Nuffield, Local Government Association, and others | National | These organisations produce influential information and guidance directly for local public health decision-makers; they are an important component of the new evidence and decision-making landscape |