This is an overall response and reflection on the White Paper Healthy Lives, Healthy People (Department of Health 2010) and the associated consultations on the outcomes framework and commissioning and funding mechanisms.
In this response, we highlight the key issues facing public health reform, including;
- will public health have the right resources to do the job?
- where will accountability lie for outcomes nationally and locally?
- will the levers and incentives in the system stack up into a coherent whole?
- will the right information be available and cut-up in the right way to do the job well?