On paper, promising to fund public health from retention of business rates sounds an unlikely scenario. Whatever the outcome of the consultation, some clear answers need to be found soon. In the absence of an apparent plan around funding for public health services, many teams will continue to be put at risk through reductions to the grant and wider reductions and loss of revenue support grant. In this climate, I suspect that many of the best and brightest will be looking for an alternative future to public service.
The new NHS pension scheme administration consultation levyhttps://www.gov.uk/government/consultations/nhs-pension-scheme-introducing-a-scheme-administration-levy just released for consultation passes the cost of managing NHS pensions from DH to all providers who employ staff on NHS terms and conditions and will be another cost to local authorities taking on board PH staff. Is this sensible is it a tax in itself/
I've thought about it last year, and spoke to a number of local government representatives. Their answer was that they do think on the face of it a good idea however the implementation and strategy would be far reaching to make it work. Risk and workload are the key issues - managing all this at a basic level takes experience, that I'm not convinced the local governments have it. If anything the NHS needs more stability, however it seems that's not on the table. However, what we've got ain't working, I know that... Phil, FD - http://www.assuredfd.co.uk