Are you a health and social care commissioner navigating the ever-changing commissioning landscape? With challenges such as limited funding, changing demands and global pandemics, we need to be clear on why, what and how we commission effectively. This book offers you a warm welcome into the often-complex world of healthcare commissioning. Amanda J. Hughes shares personal insights from her commissioning career and practical guidance that will demystify the commissioning cycle and ease the journey as you strive to achieve the best outcomes for the population. This book will help you to ensure valuable resources are directed to those with most need, that care is fair and accessible and that the solutions you put into place are sustainable for the longer term.

This new text supports commissioners in translating current aspirations for public mental and physical health into tangible commissioning strategies. At a time when there are major changes in commissioning arrangements, this book provides a carefully structured and comprehensive look at the resources designed to improve population health and wellbeing outcomes. It examines critically how these resources, both human and financial, can be used in practice, focusing on health and wellbeing as well as illness. The book takes a life-course approach and examines commissioning for children, working-age adults and older people. It will be valuable reading for those taking postgraduate courses in commissioning and leadership and management in a healthcare context, as well as broad courses on public health and health promotion. Chris Heginbotham OBE FRSPH is Visiting Professor at the University of Cumbria and Emeritus Professor of Mental Health Policy and Management at the University of Central Lancashire. Karen Newbigging is a Senior Lecturer in the Health Services Management Centre at the University of Birmingham and is a Chartered Psychologist and Associate Fellow of the British Psychological Society.

It is now widely acknowledged that there is more to health than just the absence of illness. This book aims to widen the perspective of health professionals to encompass the concept of well-being across the lifespan. It has been written to introduce students to the theory and practical application of health improvement and well-being in the context of public health, providing global as well as domestic perspectives on key concepts, in particular: Social and health inequalities Social justice Political influences Commissioning, funding and delivery of services Each chapter defines and provides an outline of theoretical perspectives relevant to each topic, allowing the reader to critically evaluate the accepted wisdom in each of the fields under discussion. Case studies illustrate local and global perspectives and questions throughout the book encourage students to think and reflect on the key points of each chapter and apply theory to practice. With a delicate blend of theory and practice, Health Improvement and Well-Being considers the key influences on health improvement and the best ways to tackle them as a health professional. This book is key reading for experienced and senior public health professionals as well as masters level students taking courses in public health, health improvement or health promotion, or taking modules in health improvement as part of a more general health science course. Contributors: Donna Hart, Moyra Baldwin, Janine Talley and Allison Thorpe. "A timely investigation of key factors that impact on well-being. Sets out the national and international policy context clearly and makes very good use of case studies and wider evidence to consider effectiveness of interventions. Thinking points and practical exercises encourage the student to apply knowledge to practice throughout." Paul Reid, Senior Lecturer, School of Health, University of Central Lancashire, UK "This book provides a comprehensive perspective on well-being within the context of health and health improvement both within this country and internationally. I would recommend this book as a key text for all students studying on the nursing, midwifery, social work and allied health profession courses. The chapters are structured well and provide a means for students to explore key concepts. The use of case studies helps the reader to appreciate the practical application of theoretical concepts and as such it brings alive the real issues within the practice setting. The structure and content is suitable for a wide range of academic levels and professional groups, making it a key text for health and social care professions." Patricia Livsey, Executive Dean, Faculty of Health and Human Sciences, Plymouth University, UK "This book would make an ideal resource for anyone working/managing in public health arenas" Quote from Nursing Times, February 2016

This timely book is the most comprehensive account yet of recent commissioning practice in the English NHS and its impact on health services and the healthcare system. Drawing on eight years of research, expert researchers in the field analyse crucial aspects of commissioning, including competition and cooperation, the development of Clinical Commissioning Groups and contractual mechanisms. They also consider the influence of recent commissioning reforms on public health infrastructure. For academics and policy makers in health services research and policy, this is a valuable collection of evidence that deepens understanding of how commissioning works.

The book, illustrated with case examples, identifies and makes explicit the often diverse values of those involved in healthcare commissioning, whether as commissioners, providers or users of services. It provides a skills base and other support processes for working with differences in values held by those engaged in making decisions.

The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.

What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).