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March 1, 2023
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‘Avoidable and unacceptable’ harm will be caused by delay to Public Health Grant

We can’t plan high quality, value for money, services without knowing how much money there is to spend on them. Individuals, their families – and therefore their communities – will undoubtedly suffer purely as a result of this delay.

Greg Fell, ADPH Vice President

Delay to Public Health Grant will cause ‘avoidable and unacceptable’ harm

With just one month to go before the new financial year, over 30 leaders of public health, NHS bodies and health charities are calling on the Government to urgently publish next year’s public health grant allocation.

The coalition, led by the Association of Directors of Public Health (ADPH), the NHS Confederation, the Local Government Association (LGA), the Faculty of Public Health (FPH) and the Royal Society for Public Health (RSPH),  are also urging ministers to increase investment in public health and prevention – a strategy which although known to have a long-term benefits to individuals, communities, the NHS and wider economy, has been repeatedly overlooked in recent years.

In the joint statement, leaders across the sector have said:

The Government’s delay in publishing the Public Health Grant allocation for 2023/24 is putting public health services at risk and adding unnecessary strain on an already pressured system.

In addition to not yet knowing what the public health budget will look like for the coming year, we are extremely concerned that the delay will be exacerbated by either only a small increase or another flat cash settlement.

Despite several important Government strategies being sidelined or delayed, including the health disparities and gambling reform white papers and Khan review, there have been a series of promising announcements giving a commitment to public health initiatives. However, these initiatives are not being adequately – or consistently – funded.

Instead, funding has been cut in real terms by almost a quarter since 2015. While the current investment is of course welcomed, anything less than inflation is in effect a cut and, as a result, it is impossible for providers to keep up, either with policy ambitions or the growing demand on these vital public health services. We simply cannot keep delivering more for less.

Without investing in evidence-based measures that are proven to prevent and reduce physical and mental ill health, demand on the NHS will continue to rise, sickness in the workforce will continue to increase and the economy will continue to suffer as a result.

Greg Fell, ADPH Vice President and Director of Public Health for Sheffield, said:

“This grant directly funds local services that protect and improve people’s health. With just four weeks to go until the start of the new financial year, Directors of Public Health and their teams are having to second guess how much money they will have to spend on areas like sexual and reproductive health, drug and alcohol treatment, stop smoking services and early years support.

“We can’t plan high quality, value for money, services without knowing how much money there is to spend on them. As a result, individuals, their families – and therefore their communities – will undoubtedly suffer purely as a result of an avoidable and unacceptable delay in decision making.”

Matthew Taylor, Chief Executive of the NHS Confederation said:

“Health leaders across the NHS system know the critical role public health provision plays in reducing pressure on services and crucially, keeping people and communities well.

“In their first year as statutory bodies, Integrated Care Systems know they have a driving role to play in building population health and reducing health inequalities, and ICS leaders are raring to go with this part of their role, with many ICSs already undertaking important and innovative work. They do however need adequate support from government to enable them to work effectively in partnership with local authorities, the VCSE sector and others to bring about the shift needed in how we approach health.

“The ongoing uncertainty around funding for services for the next financial year is undermining the ability of local health leaders to make the best use of the allocations in the interests of the communities they serve. After eight years of real terms cuts to the public health grant a rise by anything less than the current rate of inflation will stymie progress in the face of increasing need.”

Councillor David Fothergill, Chairman of the LGA’s Community Wellbeing Board, said:

“Demand for vital treatment including mental health support was high before the pandemic. In the aftermath of the pandemic, it is even more urgent that these services are properly funded.

“Councils continue to be in the dark about public health funding and this can’t go on. Residents and our communities need clarity.

“Every pound invested by Government in council-run services such as public health helps to relieve pressure on other services like the NHS and the criminal justice system.

“The Government needs to give councils the clarity they need so they can increase investment to protect the health of our local communities over the coming months and years and to ensure all local authorities can continue to meet their public health responsibilities into the future.”

Professor Kevin Fenton, FPH President, said:

“As local services respond to multiple concurrent threats to health, exacerbated by the mounting cost-of-living crisis, councils desperately need clarity on funding allocations to make critical decisions on frontline services which are in place to protect and improve the public’s health.

“We hope that this year’s Public Health Grant will reflect the mounting pressures on these services and recognise the proven value that they offer in promoting population health and economic productivity.”

William Roberts, RSPH CEO, added:

“Public health grants fund essential local services that help keep communities healthy, productive, and prosperous. Delaying this critical local funding makes no sense.  With Government focusing again on prevention, it is essential that local teams are given the resources to do what they do brilliantly.”

Supported by:

Ailar Hashemzadeh, Director of Research and Public Affairs, Alcohol Change UK

Samantha Benham-Hermetz, Director of Policy and Public Affairs, Alzheimer’s Research UK

Deborah Arnott, Chief Executive, ASH

Eddie Crouch, Chair, British Dental Association

John Maingay, Director of Policy and Influencing, British Heart Foundation

Prof Yvonne Gilleece, Chair, British HIV Association

Pamela Healy OBE, Chief Executive, British Liver Trust

Prof Phil Banfield, Council Chair, British Medical Association

Helen Marshall, Chief Executive, Brook

Andy Bell, Interim Chief Executive, Centre for Mental Health

Ian Walker PhD, MBA, Executive Director of Policy, Information and Communications, Cancer Research UK

Chris Askew OBE, Chief Executive, Diabetes UK

Gary Waltham, Chief Executive Officer, Faculty of Sexual & Reproductive Healthcare

Ailsa Rutter OBE FKC HonMFPH, Director, Fresh and Balance

Matthew Philpott, Executive Director, Health Equalities Group

Kim Roberts, Chief Executive, Henry

Dr Katherine Severi, Chief Executive, Institute of Alcohol Studies

Professor Patricia Owen, President, Institute of Health Promotion and Education 

Alison Morton, Chief Executive Officer, Institute of Health Visiting

Sandra Currie, Chief Executive, Kidney Research UK

Mark Rowland, Chief Executive Officer, Mental Health Foundation

Deborah Gold, Chief Executive, National Aids Trust

Adam Lent, Chief Executive, New Local

Hannah Davies, Health Inequalities Lead, Northern Health Science Alliance

Katharine Jenner, Director, Obesity Health Alliance

Duleep Allirajah, Chief Executive, Richmond Group of Charities

Dr Sarah Clarke, President, Royal College of Physicians

Sharon White OBE, Chief Executive Officer, School and Public Health Nurses Association

Dwayne Johnson, spokesperson for Health & Social Care, Solace

Dr Rubina Ahmed, Associate Director, Research, Policy and Influencing, Stroke Association

Richard Angell, Chief Executive, Terrence Higgins Trust

Dr Nicola Heslehurst, Chair, UK Association for the Study of Obesity

Deborah Alsina MBE, Chief Executive Officer, Versus Arthritis

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