Annual Business Plan 2019/20 - Credible, independent and ambitious April 2019
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Annual Business Plan
2019/20
Credible, independent
and ambitious
April 2019
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
Welcome to the PHE business plan
There are three significant matters that will guide
our year.
First, the implementation of the NHS Long Term Plan
Public Health England’s mission is to protect and and the agreement to re-establish the role of regional
improve health and tackle inequalities. director of public health on the leadership teams for the 7
Our scientists work around the clock to keep people new NHS regions. This marks a turning point in how we
safe from infectious disease and other environmental provide healthcare across England and puts prevention
hazards, including chemicals and radiation and this centre stage, with a particular focus on alcohol,
year we will be finalising a new infectious diseases cardiovascular disease and smoking. Delivering on this
strategy for the next 5 years. new role will be a team effort for the whole of PHE and
Duncan Selbie will address an important gap in public health expertise in
Chief Executive Our responsibility to improve the health of the nation the NHS that resulted from the 2013 changes.
is largely discharged through the work of local
government, the NHS and central Government, where Second, the forthcoming Green Paper on Prevention
we strive to have health at the heart of all policies. Our focus in the coming with its promise to place improving health into all
year will be to support the Government’s commitment to a Green Paper on of Government policy. This will highlight where we
Prevention and implementing the prevention commitments of the NHS Long can better join the dots between individual personal
Term Plan. Both are central to helping people live longer in good health, to responsibility and that of national and local government,
use the NHS less and later in life, to stay in their own homes when unwell alongside the NHS, business and the third sector, all
for longer and to stay in work for longer. This is as much an economic focused on the places where people live and work.
imperative for the UK as it is about tackling health inequalities. Third, preparing for the 2019 Spending Review by
We will continue to develop our use of digital technologies and behavioural providing evidence on the impact of investment in
science to ensure we are reaching those people in the poorest health services which improve and protect the public’s health.
where the biggest difference can be made, in the places they live and in the We will also work with the Department for Health and
choices they make. The Government’s investment in state of the art facilities Social Care to develop an appropriate assurance
at a new national campus for PHE in Harlow will help us to strengthen our framework for the local public health system, alongside
place at the cutting edge of public health science and turn advances in other developments in local government financing.
research into real improvements in health outcomes.
I am indebted to the people of Public Health England and the whole of the
public health system on whom all of this relies who strive 24/7 to keep the
country safe and well.
2
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
Our purpose Our national and local presence
PHE exists to protect and improve the PHE has 9 teams in 4 regions around England to support implementation where people
nation’s health and wellbeing, and reduce live and work. We are a nationwide organisation offering a range of specialist public health
health inequalities. We do this through world- services to support the work of local government, the NHS and the whole public health
leading science, research, knowledge and system in every part of the country.
intelligence, advocacy, partnerships and the
delivery of specialist public health services. We
Our staff work from 49 locations
are an executive agency of the Department of
Health and Social Care, and a distinct delivery PHE Harlow NORTH
organisation with operational autonomy. We PHE national campus for public health science, EAST
provide government, local government, the NHS, bringing together the work of PHE Colindale, PHE
Porton and the PHE HQ from 2021/22 onwards
Parliament, industry and the public with evidence- NORTH
WEST
based professional, scientific and delivery PHE Colindale
expertise and support. includes infectious disease surveillance and control, YORKSHIRE
reference microbiology, other specialist services such AND THE
HUMBER
as sequencing and high containment microbiology,
Preparing for, and Protection plus food, water and environmental services
responding to, from infectious
emergencies disease
PHE Chilton
includes the headquarters of the Centre for Radiation, EAST
Protection Protecting MIDLANDS
and Chemical and Environmental Hazards (CRCE).
from
environmental improving CRCE operates from 11 locations over England,
hazards The global Scotland and Wales WEST
MIDLANDS
public’s health EAST OF
health PHE Porton ENGLAND
includes departments for rare and imported
pathogens, research, culture collections and
Improving Supporting emergency response, plus food, water and
health and the NHS environmental services LONDON
wellbeing SOUTH
and reducing EAST
inequalities Supporting and PHE has a number of regional SOUTH
developing WEST
public health laboratories based
the public
health system in large NHS hospitals and a
food, water and environment
laboratory in York
3
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
1 2 3
Some of our achievements in 2018/19
Keeping the public safe Helping people to be healthier
We work 24/7 to protect people from infectious diseases, Locally and nationally PHE is having a positive impact on
public health emergencies and environmental hazards. people’s health. This year:
This year:
• we responded to more than 10,000 disease • we launched the most ambitious food • we published
outbreaks and emergencies across England, reformulation programme in the world our first
including meningitis, measles, E. coli and the to reduce 20% progress Suga
r
reform reduction
an
Repor ulation prog d wider
first ever UK case of monkeypox of calories in Sugar report on May 20
t
5% re on progre ramme:
ductio ss
n and towards
next st
eps
the fir
st
the food that sugar
18
Calls on the food industry to reduce
sugar in their most popular products by
20% 2020
children eat by
categories include: reduction
the most
• we introduced the BREAKFAST
CEREALS
YOGURTS AND
FROMAGE FRAIS
ICE CREAM,
LOLLIES AND
SORBETS
SWEET
CONFECTIONARY
CHOCOLATE
CONFECTIONARY
gold standard
flu vaccine this CAKES MORNING SWEET SPREADS BISCUITS PUDDINGS
• the UK Public Health
GOODS AND SAUCES
winter
Rapid Support Team
has responded to
emergencies across • we worked with 40 • we contributed to
the world, including partner organisations the lowest levels of
in Bangladesh, the • cases of to create the smoking prevalence
Democratic Republic of tuberculosis first ever national since records began
Congo and Nigeria have fallen to Collab
orative ambitions to prevent
Strate Tuberculos
the lowest level gy for
Engla
is
nd
cardiovascular
since records
20 15 to
20 2 0 disease
• our HIV annual
• we delivered a global began, a drop
report confirmed
major incident of 43.6% since Progre
epidemss towards
that new HIV
ic in th en
e Uni ding the H
ted K
ingdomIV
2011
2018
re
exercise focused on
and re port − sum
comm m
endatio ary, key m
diagnoses are at ns essage
s
anti-microbial resistance their lowest level
for the G20 in Argentina Januar
y 201
5 since 2000
4
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
1 2 3
Evidence into action Science at PHE
Our expertise in data analysis and research means we are We have 2,500 scientists – many of whom are international
a credible source of evidence for policymakers. This year: leaders in their fields. This year:
• we developed the Public • our landmark Health Profile for England • we supported Defra with • almost 1,000
Health Dashboard report brought together for the second time the development of the UK research papers
supporting local decision- a full picture of the health of the people Government’s Clean Air were published
making and increasing in England. This helped to determine the Strategy, which also included in leading peer-
transparency priorities for the NHS’s Long Term Plan the launch of the air pollution reviewed journals
cost tool and the production
of a Clean Air Quality and • we used whole genome sequencing
• we published 13 • we have continued to help to determine the susceptibility of
Health Plan
editions of our commissioners and policy tuberculosis to antibiotics and used
Health Matters professionals maximise the innovative genomics tools to guide
• to help eliminate
series, setting value from the local pound, the response to the Lassa fever
hepatitis C, we
out the evidence including through the launch outbreak in Nigeria
developed a new
for what works of a new Prioritisation
whole genome
in tackling major Framework and building • our laboratories
sequencing test for
public health on our suite of return on carried out more
roll out in laboratories
challenges investment tools than 5 million
across England
microbiology
tests
• we published a world-first • we published • we worked with NICE to review
evidence review about evidence reviews on
Eviden
heate ce review
d o
A repo tobacco p f e-cigaret
and develop guidelines for
physical activity and e-cigarettes, mortality
rt
Health
ro
oned
Engla
nd
by
18
te
Public commissi ducts 20 s and
antibiotic prescribing in • we published a new study
disability, showing the trends in England, primary care, including a revision demonstrating that the HPV
link between physical the importance of of prescription vaccine reduced the number of
lengths in order to young women carrying the two
Author
s:
activity and positive muscle and bone
Ann Mc
Neill 1,2
, Leonie
1
King’s S Bro 1,2
Col se ,
Rober
UK Cen lege London
2
t Calder 1
main cervical cancer-causing types
3 tre for , Linda
Univer Tobacc
reduce antibiotic
4 sity of o & Alc Bauld 2,3,4
Cancer Stirling ohol Stu , Deb
strengthening and
bie Ro
health outcomes for
Resear dies bson 1,2
ch UK
disabled adults air quality consumption of HPV by nearly 90%
5
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
1 2 3
Developing PHE Engaging people
Our ambition is to be the most effective public health We use targeted, digital first social marketing campaigns
agency in the world. This year: to help people make the healthy choice the easiest choice.
This year:
• building works for our • the 2019 Ipsos MORI stakeholder survey • we launched our • we created
new public health gave PHE the second first ‘Cervical a Start4life
science campus in best score for Screening ‘Breastfeeding
Harlow began positive advocacy Saves Lives’ Friend’ voice
of any public body campaign assistant on
they have worked Google, building
with over the past on the ground-
decade • we developed a new digital breaking Amazon Alexa skill
‘Personal Quit Plan’ tool
• we achieved our financial targets, delivering to provide tailored quitting
• we refreshed
recurrent efficiency savings of over £13 support to smokers
the FRANK
million and achieved our highest ever staff website using
engagement index of 61% • we supported London’s the latest digital
• we achieved Top 30
status in the Employer digital mental health technology,
• we have provided opportunities for service which has now been achieving a 43%
for Working Families under-represented or disadvantaged
awards, sustained our used by 180,000 people increase in visits
groups through a number of Pathways
Disability Confident to Work placements, including
Leadership status and Ambitious about Autism, Movement to • our Change4Life ‘Food • we refreshed our Heart
were recognised as a Work and Project SEARCH scanner’ app has been used Age Test, achieving 3
Best Employer for over 50 million times to help million completions of the
Race by people identify how much sugar, test in the first four weeks
• received an unqualified opinion from the
Business salt and
National Audit Office on our assurance
in the saturated
processes to ensure the ring-fenced public
Community fat is in
health grant was used in accordance with
their food
the grant conditions by local authorities
6
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
A changing environment – opportunities and challenges
The public’s health
Making the Building a Optimising Harnessing progress Working to Realising the
economic case fairer society behavioural in science and reduce the potential of new
for prevention science research health gap technologies
Evidence shows that Economic growth leads The decisions we make The world is changing: society, Those living in the most From online tools to wearable
prevention and early to longer healthier lives. about the way we live our diseases and technology are deprived communities in devices, technology is
intervention represent Health and wealth are lives impact on our health. constantly evolving. England die on average opening up new opportunities
good value for money. inseparable, so Evidence shows we often We will continue to invest in between 7 and 9 years earlier to monitor our health, identify
Well-chosen spreading economic find it difficult to follow science, research and and spend around 19 fewer problems earlier and reach
interventions prosperity by creating through on our best innovation, tackling infectious years in good health than people with tailored advice
implemented at scale, jobs that local people intentions. disease, air quality and people living in the most and support.
help avoid poor health, can get is an economic non-communicable disease, affluent areas of the country. The expanding role of
as well as public health Behavioural science is
reduce the growth in developing a better and developing our scientists. This is not inevitable. There technology within public
demand on public priority. A fairer society are well-evidenced preventative health goes hand in hand with
includes a good start in understanding of what
services, and support works and how to make interventions that would advances in how we collect,
economic growth. life, good education, address this injustice. combine, analyse and utilise
decent work and strong the healthy choice the
easy choice. different kinds of population
communities. and personal data.
7
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
1 2 3
Our actions for 2019/20
We will work as One PHE, delivering alignment and synergies across all parts of our agency, using the skills and commitment of our staff to deliver the biggest
impact and best value for the taxpayer and our partners.
approaches in the NHS Long Term Plan; and Make agreed contributions to cross-government
National government leading on a programme of reformulation work to initiatives on the environment including working
significantly reduce the population’s salt intake with Defra to support implementation of the
Clean Air Strategy
Promoting health in all policies
Support the delivery of the Government’s
strategy set out in ‘Improving Lives: The Future
Support DHSC to develop and publish a Green of Work, Health and Disability’ by working with
Paper on prevention by providing robust local government and the NHS on mainstreaming Local government
analysis and evidence on interventions to prevent ‘work as a health outcome’ products
ill health and reduce health inequalities; and across local health and care systems and
Sharing our expertise and
support engagement with local and national collaborating in the development of work-focused
evidence on what works
partners both prior to and following publication musculoskeletal prevention activity
Support DHSC in preparations for the 2019 Implement the PHE-led actions in the UK AMR Continue to support the development of an
Spending Review, including by providing National Action Plan, and support DHSC to appropriate future assurance framework
evidence on the impact of investment in services deliver the UK global AMR-related commitments for the public health system, alongside other
which improve and protect the public’s health including the Global Burden of Disease project developments in local government financing
Deliver the PHE-led actions in the Tobacco Contribute to the drugs review commissioned As part of modernising the Healthy Child
Control Plan Delivery Plan and work with NHS by the Home Secretary and the delivery of key Programme initially focussed on the first
England to realise their smoking-related commitments in the Home Office’s Serious 1001 days and early years, produce a pre-
commitments in the NHS Long Term Plan Violence Strategy conception and maternity pathway to reduce
risk and improve wellbeing, and publish a
Deliver PHE’s contribution towards the Publish evidence reviews on the public health speech, language and communication pathway
government’s commitment to halve childhood impacts associated with prescription drug to improve outcomes for children and reduce
obesity by 2030, including: working with industry dependence and gambling inequality in school readiness
on the sugar reduction and calorie reduction
programmes; revising the nutrient profile model;
supporting delivery of the obesity-related
8
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
1 2 3
Support the commissioning and delivery of Implement relevant recommendations from the strategic engagement with European Public Health
services to reduce variations in outcomes for Independent Breast Screening Review; the Public Institutes and multi-agency public health agencies,
sexual and reproductive health and HIV Accounts Committee report on the management to maintain close working relationships with these
across England, and support NHS England and of adult health screening; and agreed organisations after leaving the EU; and collaborating
local government in the PrEP Impact Trial recommendations from Professor Sir Mike Richards’ with the DHSC Operational Response Centre by
review of national cancer screening programmes providing information, advice and data
Collaborate with local partners on a programme
of work to increase adoption of the Prevention Support NHS England in improving childhood Work with Government and NHS partners to
Concordat for Better Mental Health vaccination uptake and the planning and delivery strengthen the capability of the health and
of an extension of the Human papilloma virus care system to respond to enhanced health
Assist local authorities and health commissioners vaccination programme to eligible adolescent boys protection incidents
by publishing guidance on improving the health
of rough sleepers in line with the Government’s Lead delivery of the prevention workstream Develop the wider public health workforce,
commitment to end rough sleeping within NHS England’s programme to transform extending the efficacy, reach and adoption of
maternity care to improve safety, choice and initiatives such as Making Every Contact Count
reduce inequalities and All Our Health
The NHS Work with academic researchers to develop
Developing the public new National Institute for Health Research
Getting serious about prevention, health system (NIHR) Health Protection Research Units
support for STPs and integrated and support the NIHR School for Public Health
care organisations Building capacity and capability Research and other major research investments
to produce evidence on how to meet major
population health challenges
Support NHS England with the delivery of EU exit: Lead on public health security and
preventative interventions in the NHS Long Term protection from serious cross-border threats
Deliver national statistics for England on cancer
Plan, including commitments on alcohol, CVD, to health. PHE will ensure its preparedness to
incidence, mortality and survival including a
diabetes and cancer respond to, and co-ordinate the response to,
detailed publication of cancer stage completion
public health emergencies and management of
of tumour sites to support the Government’s
Work alongside NHS England to develop incidents, including those caused by disruption at
early diagnosis ambition and work with NHS
the menu of interventions on tackling health the border and of the supply chain. This includes
Digital and system partners to establish an all-
inequalities promised in the NHS Long Term Plan ensuring continuity of access to nationally procured
disease registration service
vaccines, countermeasures supply and public
health laboratory functions; continuing to develop
9
Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
1 2 3
Deliver our commitments to strengthen global Develop PHE’s analytical capability by
Directly to the public health security and outbreak emergency establishing a new non-communicable
response, in collaboration with global partners disease modelling unit
Making the healthy choice the
Work with DFID, DHSC and international partners Develop and update the organisation’s
easiest choice
to strengthen public health systems in knowledge strategy
partner countries and regions
Deliver a national campaign to encourage and Continue to strengthen staff engagement
empower people to look after their mental health Share information and evidence on best practice across PHE to ensure the organisation is an
in support of the target to engage and improve the for Emergency Preparedness, Resilience improving place to work for all staff
mental health literacy of 1 million people and Response functions with key national and
international partners including the World Health Continue to implement the Taxpayer Value
Build on PHE’s industry-leading expertise in Organisation and the International Association of Strategy to ensure value for money in all PHE
targeted, personalised and digitally enabled social National Public Health Institutes activities
marketing to develop with system-wide partners an
accelerated approach to testing and learning from Deliver continuous improvement in assuring the
innovative predictive prevention interventions health and safety of staff, with a particular
which impact at population and individual level Developing PHE focus on our scientific campuses and network of
regional microbiology laboratories
Help people to take control of their own health Strengthening skills, building
by delivering high profile behaviour change resilience Develop a consistent and secure approach to
programmes managing data that maximises its availability
for use by PHE and by others, whilst providing
Prepare PHE for the delivery of the organisation’s protection from cyber threats
new five-year strategy from April 2020
Global health
Develop and begin to implement a new
Protecting people living in the UK Infectious Diseases Strategy
Submit a Full Programme Business Case to
Produce a new PHE Global Health Strategy,
DHSC for approval to create a new national
defining PHE’s contribution to UK action to
campus for public health science at PHE Harlow
address threats to global health
10Welcome Our purpose Achievements in Opportunities and Our actions for People and
2018/19 challenges 2019/20 resources
People and resources
Protection from National disease registration Nursing Our Taxpayer Value Strategy is as ambitious as it is
infectious diseases Collecting high quality population-level National and international public health comprehensive and we take a stratified approach to
National centres, regional network and data on cancer, congenital anomalies nursing and midwifery, advice and
capability to identify infectious disease, and rare diseases leadership. Giving children the ‘Best identifying opportunities to deliver more and better
surveillance and management of outbreaks Start in Life' services for less:
Budget: £16.1m
Budget: £86.9m Budget: £1.7m
Staff: 359
Staff: 2093 Staff: 18
Service
redesign
Cross-cutting thematic
value for money reviews
Direct to the public V
Focused best value exercises
Protection from Helping people to take control of their A informed through business planning
own health
environmental hazards and
emergency preparedness
net cost L Creating value through income generation
Budget: £31.8m U
Including chemical, radiation and
to the taxpayer Staff: 79
environmental hazards, emergency
E Using ICT and digital products better
response, medical revalidation £287m Smart procurement and robust supplier/contract management
Budget: £25.8m
Global health Sharing services and infrastructure
Staff: 476
5,500 Protecting the UK from emerging
staff
Back office efficiency - including finance, ICT, estates, communications, legal, procurement, HR
international threats, maintaining and
developing relations with the WHO and
Service-led value for money activity (transactional)
other international and national public
health agencies
Local centres and regions VOLU ME
Supporting local government, clinical
Budget: £2.6m
commissioning groups and the local NHS Staff: 90
Screening programmes
Budget: £72.7m
Staff: 1027
and QA Other funding:
Supporting and quality assuring cancer
and non-cancer screening programmes Business support, office
accommodation costs and digital* £2,931.6m £424.6m
Budget: £12.8m Ring-fenced Vaccines
Providing business support functions local authority and
Staff: 289 and PHE’s digital expertise and
grant counter-
capability. This includes the full property
Knowledge, intelligence cost of our estate
measures
and research Budget: £64.8m
Producing and interpreting information on Health and Wellbeing Staff: 644
health, supporting research and use of Externally generated income:
National expertise in public health
the best evidence evidence-based interventions £46.9m £167.5m
Royalties and balances Supporting Commercial
Budget: £29.5m Budget: £14.1m cancer and income: sources
Staff: 318 Staff: 107 Budget: -£71.8m non-cancer include services,
screening research, royalties
and dividends
* Financial and commercial, Communications,
Corporate affairs, People, PHE Harlow, Strategy,
Note: The DHSC Group financial plan for 2019/20 is not yet finalised Infrastructure (ICT, Digital and Estates)
11About Public Health England
Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-leading
science, research, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. We are an executive agency
of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy. We provide government, local government,
the NHS, Parliament, industry and the public with evidence-based professional, scientific and delivery expertise and support.
Public Health England
Wellington House
133-155 Waterloo Road
London SE1 8UG
Tel: 020 7654 8000
www.gov.uk/phe Twitter: @PHE_uk
Facebook: www.facebook.com/PublicHealthEngland
© Crown copyright 2019
You may re-use this information (excluding logos) free of charge in any format
or medium, under the terms of the Open Government Licence v3.0. To view
this licence, visit OGL or email psi@nationalarchives.gsi.gov.uk. Where we
have identified any third party copyright information you will need to obtain
permission from the copyright holders concerned.
Published April 2019
PHE gateway number: GW-322
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