Perspectives in Public Health | VOL. 136

2020 vision for Welsh ‘public health’? Proposing ‘public sector’ footprints

Publication Date Mar 1, 2016


Health is a difficult concept to define, not least as the determinants include access to healthcare, community cohesion, education, employment, environmental factors, genetics, housing and lifestyle. Both the challenges and opportunities for public health are to engage on these diverse agendas across a wide range of partnerships. In Wales, there are perhaps further opportunities to advance the public health agenda given that there are a range of powers devolved to the Welsh Government.Wales is a relatively small country with a resident population of around three million people. Similar to other countries within the United Kingdom, Wales has an ageing population which leads to increasing demands on health and social care services. Another issue is increasing financial pressure, leading to the dual challenge of needing to do more with less. Extrapolating some basic common sense to this situation, if more health and social care output are required for decreasing resource input, the efficiency of the 'system' needs to be increased. That might also mean that the size, structure and function of the existing 'system' are reevaluated.National policy in Wales can be questioned. At the organisation level, reforms to the National Health Service and Local Government tend to occur at different times with different drivers and often resulting in geographical footprints that are not coterminus. Individual policies are also open to challenge; for example, a national dignity in care programme1 was ended in 2011, and yet several years later, ...


Supporting People Opportunities For Public Health Healthy Ageing Policy Social Care West Region Social Care Policy Welsh Hospitals Collaborative Mindset Social Care Provider National Dignity

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