Agenda item 4 - MTFS (Final) Cab 070213 , item 9. PDF 1 MB

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Annex 1.4 Commissioning Intentions – Public Health Context Under the Health and Social Care Act, three domains of public health; health improvement; health protection and health care public health, will become part of Local Government’s public health function. Gloucestershire County Council will have a new statutory duty to promote the health of their population, and responsibility for commissioning specific public health services, supported by a new ring fenced grant. The ring fenced Public Health grant allocations for Gloucestershire are £21,126 million in 2013/14 and £21,793 for 2014/15. This represents a significant uplift from previous years’ expenditure on public health and is based on a new national formula linked to health inequality and health need. The intention is for the grant to be spent on activities whose main or primary purpose is to positively impact on the health and wellbeing of the local population, with the aim of reducing health inequalities in local communities. Those activities include: • improving significantly the health and wellbeing of local populations • carrying out health protection functions delegated from the Secretary of State • reducing health inequalities across the life course, including within hard to reach groups • ensuring the provision of population healthcare advice to Clinical Commissioning Groups (CCGs) Strategic Direction Nationally, the strategy for Public health in England was laid out in the Government’s White Paper Healthy Lives, Healthy People (2010). i Locally, our strategic ambition is reflected in the vision presented in Gloucestershire’s Health and Wellbeing Strategy, Fit For the Future; ‘to improve the health of all Gloucestershire residents and protect the most vulnerable’ by ‘working with our communities to co-produce health, wellbeing and resilience.’ The Local Government Association has identified that investment in public health leads to reduced pressure on National and Local Government and the NHS, saving money that can be further invested in prevention and early intervention which in turn, through improved health and wellbeing and health equality, leads to further reductions in pressure on care services. This is known as the virtuous circle of public health and is illustrated below. 35
Source LGA: From transition to transformation in public health, Resource sheet 2: Understanding Public Health Needs analysis The Joint Strategic needs Assessment (JSNA) is a strategic planning tool that brings together the latest information on the health and wellbeing of people who live in Gloucestershire and people who use Gloucestershire public services and underpins the Health and Wellbeing Board’s Strategy. It tells us that overall Gloucestershire is one of the healthiest counties in England. Health outcomes are above the national average and deaths from the major diseases like cancer, heart disease and strokes are below the national average and falling. We have made some progress, however the picture in Gloucestershire is not perfect. The health and wellbeing of people in some of our communities is not improving at the same rate as others. Every year, many people suffer avoidable ill health or die earlier than they should – this is known as health inequality. In Gloucestershire, men in the fifth most deprived communities live, on average, 5.3 fewer years than those living in our fifth least deprived areas – the pattern is similar for women, with those living in the most deprived areas living on average 4.1 fewer years than those in the least deprived areas. Life expectancy in Gloucestershire is increasing, but healthy life expectancy is not improving at the same rate – and certainly not for all groups of the population. On average, a man can expect to live the last 15 years of his life, and a woman the last 13 years, in poorer health. This, coupled with the fact we have an ageing population, presents our biggest challenge. Life style factors such as smoking, poor nutrition, physical inactivity and alcohol misuse are important contributors to most preventable diseases. Unless we take early action to support individuals, families and communities to take steps to improve their own health and wellbeing now, we will not be able to resource the increases in people with on-going care needs in the future. 36
Page 1 and 2: Gloucestershire County Council Medi
Page 3 and 4: 7 The capital budget strategy refle
Page 5 and 6: This will then provide a further £
Page 7 and 8: The draft budget was also considere
Page 9 and 10: for non Academy Schools. These amou
Page 11 and 12: • Providing the basics - In the c
Page 13 and 14: (1) The budget provides for contrac
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Page 21 and 22: 2014/15 2015/16 £m £m Budget 420.
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Page 25 and 26: escheduling, and investments. • P
Page 27 and 28: ANNEX 1.1 : COMMISSIONING INTENTION
Page 29 and 30: Delivering Change Achieving improve
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Page 33 and 34: ANNEX 1.3: COMMISSIONING INTENTIONS
Page 35: Looking Forward Some of the changes
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Page 50 and 51: Proposed Cost Increases 2013/14 - A
Page 52 and 53: Proposed Cost Reductions 2013/14 -
Page 54 and 55: Proposed cost reductions as part of
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Page 58 and 59: Forward Planning 2013/14 to 2015/16
Page 60 and 61: Revenue Outturn 2012/13 : Forecast
Page 62 and 63: • The Learning Disabilities Exter
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Page 84 and 85: Appendix A EXISTING PORTFOLIO PROJE
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4. Ratio of Financing Costs to Net
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9. Adoption of the CIPFA Treasury M
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Arlingclose’s Economic and Intere
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Specified Investments Appendix D Sp
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Councils Bank Account The Council b
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Notes: • This list could change i
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3. The Local Authority Mortgage Sch
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ANNEX 11 RISK MANAGEMENT STRATEGY 2
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Risk Management Policy Statement Gl
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What are our Strategic Risk Managem
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Appendix 1 - Risk Management Accoun
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Staff/Other Stakeholders ‣ Mainta
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i http://www.dh.gov.uk/prod_consum_
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Agenda item 4 - MTFS (Final) Cab 070213 , item 9. PDF 1 MB

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