38-449: The National Cancer Intelligence Network (NCIN), was set up in 2008 to drive improvements in care standards and clinical outcomes. NCIN is now part of Public Health England , following the Health and Social Care Act 2012 . NCIN coordinates the collection, analysis and publication of comparative national information on diagnosis, treatment and outcomes for many types of cancers, in a way which
76-539: A PHE director, wrote that the method established in April was designed to avoid undercounting, and that PHE always intended to review the approach as the pandemic progressed. On 2 October 2020, it was realised that almost 16,000 COVID-19 test results received by PHE from commercial laboratories since 25 September had not been loaded into dashboards or passed to the outsourced Test and Trace operation (notifications of test results to individuals were not affected). PHE retrieved
114-460: A former GlaxoSmithKline site in 2017. PHE laboratories provided an extensive range of microbiological diagnostic tests. The Secretary of State set the total budget for public health, and determined how it was allocated between PHE and local authorities. The 2012 Act, which established PHE as a national body, also returned the responsibility for a range of community and public health services to local authorities. Each upper tier local authority
152-685: A letter to its chief executive. The last of such letters, published in July 2021, included tasks to implement the transition to the UK Health Security Agency and the Office for Health Improvement and Disparities . PHE's mission was "to protect and improve the nation's health and to address inequalities". It employed approximately 5,000 staff (full-time equivalent), who were mostly scientists, researchers and public health professionals. It announced plans to move its headquarters and 2,750 staff to Harlow on
190-456: A range of other interested parties (including the Office for National Statistics ; National Clinical Audit Support Programme; and NHS Digital (previously the Health and Social Care Information Centre). To ensure that data and analysis produced by NCIN is used to improve clinical care, NCIN set up 12 site specific clinical reference groups (SSCRGs).These groups ensure that the interpretation of NCIN
228-737: A result of the reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act 2012 . It took on the role of the Health Protection Agency , the National Treatment Agency for Substance Misuse and a number of other health bodies. It was an executive agency of the Department of Health and Social Care , and a distinct delivery organisation with operational autonomy. On 29 March 2021,
266-878: A significant risk to public health remains valid", was asserted in advance of the results having been obtained from a study commissioned by Public Health England to answer the question whether municipal waste incinerators did, in fact, constitute a significant risk to public health. Secretary of State for Health and Social Care King Charles III [REDACTED] William, Prince of Wales [REDACTED] Charles III ( King-in-Council ) [REDACTED] Starmer ministry ( L ) Keir Starmer ( L ) Angela Rayner ( L ) ( King-in-Parliament ) [REDACTED] Charles III [REDACTED] [REDACTED] [REDACTED] The Lord Reed The Lord Hodge Andrew Bailey Monetary Policy Committee The secretary of state for health and social care , also referred to as
304-584: A specific and sensitive laboratory test, the availability of which continues to increase. The statement said "the need to have a national, coordinated response remains" and added "this is being met by the government's COVID-19 response ". This meant cases of COVID-19 were no longer managed by HCID treatment centres only. PHE began publishing a weekly COVID-19 epidemiology surveillance summary each Thursday from 23 April, combining community, primary care, secondary care, virology and mortality surveillance data to support national and regional planning in relation to
342-519: A trial" and it is "unclear what problem government are hoping to solve". In response, Hancock said the move was needed to bring together disparate leadership to strengthen the UK's response to the pandemic, and that the change would not result in disruption. PHE would be combined with NHS Test and Trace to form a National Institute for Health Protection, under a new leadership structure headed by Conservative peer Dido Harding as interim CEO. Her appointment
380-476: Is currently held by Wes Streeting , who has served since 5 July 2024. Corresponding to what is generally known as a health minister in many other countries, the health secretary's remit includes the following: The first Boards of Health were created by Orders in the Council dated 21 June, 14 November, and 21 November 1831. In 1848, a General Board of Health was established with lay members in leadership roles and
418-554: Is relevant to clinicians and can be used by the clinical community to improve outcomes. This article about an organisation in the United Kingdom is a stub . You can help Misplaced Pages by expanding it . Public Health England Public Health England ( PHE ) was an executive agency of the Department of Health and Social Care in England which began operating on 1 April 2013 to protect and improve health and wellbeing and reduce health inequalities. Its formation came as
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#1732876331097456-610: Is useful to patients, commissioners and service providers and other interested parties. Sitting within Public Health England (PHE), the NCIN is a UK organisation that attempts to work closely with cancer services in England, Scotland, Wales and Northern Ireland but the majority of the reports are at an England level only. It brings together information from national NHS cancer organisations, cancer registries, health service researchers and
494-454: The Centre for Evidence-Based Medicine and others – that PHE's figures were over-estimates, since they included anyone who had a positive COVID-19 test, no matter how long ago. On 12 August it was agreed to publish the numbers of deaths within 28 days of a positive test, as was already done by other UK administrations. The cumulative total was recalculated as 41,329, a 12% decrease. John Newton ,
532-568: The Department of Health played a larger role than it does now in the coordination of health policy across Great Britain. Health services in Northern Ireland have always had separate arrangements from the rest of the UK and are currently the responsibility of the health minister in the Northern Ireland Executive . A small number of health issues remain reserved matters , meaning they are not devolved. According to Jeremy Hunt ,
570-571: The Department of Health and Social Security on 25 July 1988. Since devolution in 1999, the position holder's responsibility for the NHS is mainly restricted to the health service in England , while the holders' counterparts in Scotland and Wales are responsible for the NHS in Scotland and Wales . Prior to devolution, the secretaries of state for Scotland and Wales had those respective responsibilities, but
608-618: The Royal College of Psychiatrists , commenting on the plan to create PHE, stated its concern that there appeared to be "few, or no, commitments or resources within either the Department of Health or Public Health England to take the public mental health agenda forward". The agency was criticised by Professor Martin McKee in January 2014. He said that continuing health inequalities among London boroughs
646-816: The Secretary of State for Health . It took over public health activity from the department and from the regional strategic health authorities (which were abolished), and all activities of the Health Protection Agency , the National Treatment Agency for Substance Misuse , the Public Health Observatories , the cancer registries , the National Cancer Intelligence Network , and the UK National Screening Committee together with its screening programmes. The Department of Health and Social Care set out PHE's remit and priorities in
684-533: The UK Government announced that PHE would be disbanded and that its public health functions would be transferred, in proposals to reform public health structures. From 1 October 2021, PHE's health protection functions were formally transferred into the UK Health Security Agency (UKHSA), while its health improvement functions were transferred to the Office for Health Improvement and Disparities ( DHSC ), NHS England , and NHS Digital . Proposals for reorganising
722-467: The first commissioner of woods and forests as its president. In 1854, this board was reconstituted, and the president was appointed separately. However, the board was abolished in 1858, and its function of overseeing local boards was transferred to a new Local Government Act Office within the Home Office. From 1871, that function was transferred to the new Local Government Board . The Ministry of Health
760-559: The health secretary , is a secretary of state in the Government of the United Kingdom , responsible for the work of the Department of Health and Social Care . The incumbent is a member of the Cabinet of the United Kingdom . The position can trace its roots back to the nineteenth century, and has been a secretary of state position since 1968. For 30 years, from 1988 to 2018, the position
798-577: The National Health Service were published in the early months of the Cameron–Clegg coalition , in a July 2010 white paper from the Department of Health (under Andrew Lansley ) titled "Equity and excellence: Liberating the NHS". This was followed by a more detailed paper "Healthy Lives, Healthy People: Our strategy for public health in England" in November. The bill to implement the proposals
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#1732876331097836-509: The Office for Health Improvement and Disparities and launched 1 October 2021. A few PHE staff moved to NHS England / Improvement or to NHS Digital . While it was originally announced that PHE would be wound up on 31 March 2021, the body continued to have a 'shadow existence' until 1 October 2021, to support the transition of responsibilities to its successor organisations. The PHE name and employment contracts remained until 1 October. PHE had
874-536: The annual directive from the Department of Health and Social Care included coordination of the response to public health emergencies under a heading "Leaving the EU". In addition, an "integrated surveillance system" and "investigation and management of outbreaks of infectious diseases" were listed in an annex. PHE carried out contact tracing in the early stages of the COVID-19 pandemic , but this ceased on 12 March 2020 in view of
912-606: The following public-facing divisions: Duncan Selbie was the chief executive of PHE from its formation until 2020; he was previously chief executive of Brighton and Sussex University Hospitals NHS Trust . In the reorganisation announced in August 2020, Michael Brodie was appointed as interim CEO. Brodie was finance director at PHE from its formation until 2019, when he became CEO of the NHS Business Services Authority . Other senior personnel include: PHE took over
950-702: The major conclusion and message of its report" ... this "raises serious questions not only about the conclusions of the PHE report, but also about the quality of the agency's peer review process." Authors of the PHE report subsequently published a document clarifying that their endorsement of the 95% claim did not stand on the single study criticised in The Lancet , but on their broad review of toxicological evidence. The agency has also been criticised for "serious questions about transparency and conflicts of interest" regarding this review, that PHE's response "did not even begin to address
988-649: The missing results after determining that the cause was ill-thought-out use of Microsoft's Excel software. Matt Hancock , Health Secretary, said in Parliament that the error "should never have happened". The following month, economists at the University of Warwick estimated that the delayed contact tracing led to more than 125,000 additional infections and 1,500 deaths, although PHE disputed their findings. Public Health England has been criticised for downplaying mental health within its overall resourcing and agenda; in 2011
1026-449: The ongoing COVID-19 pandemic . Options for PHE's other roles, such as preventing ill health and reducing health inequalities, were to be discussed, with the decision made in March 2021 that these functions would move to "new homes within the health system" including the creation of an Office for Health Protection within the Department for Health and Social Care . This was subsequently re-named
1064-447: The pandemic. From 29 April, PHE collated daily reporting of the number of deaths of people in England with a positive COVID-19 test; the numbers published each day by the UK government had previously only counted deaths in hospital. By July, as the number of deaths continued to fall, PHE reported significantly more deaths than those collated weekly by the Office for National Statistics from death certificates. Concerns were raised – by
1102-472: The responsibility for 'Be Clear on Cancer' campaigns after it was created in the Health and Social Care Act 2012 . Campaigns have been run on lung cancer, bowel cancer, oesophago-gastric and kidney & bladder cancer. PHE was also responsible for Change4Life and ACT FAST. In January 2014 it launched a campaign against smoking called 'Health Harms' on television and billboards across England. The bullet points setting out PHE's priorities for 2019/20 in
1140-460: The various relationships and funding connections" in question, and that this "adds to questions about the credibility of the organisation's advice". Scientific evidence accumulated since has cast further doubt on PHE's claim. A 2017 question in the House of Lords revealed that a position underpinning UK Government policy, namely "that well run and regulated modern municipal waste incinerators are not
1178-468: The wide spread of infection in the population. From 19 March, consistent with the opinion of the Advisory Committee on Dangerous Pathogens , PHE no longer classified COVID-19 as a "high consequence infectious disease" (HCID). This reversed an interim recommendation made in January 2020, due to more information about the disease confirming low overall mortality rates, greater clinical awareness, and
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1216-407: Was a scandal, and claimed coalition reforms had left it unclear who was supposed to analyse health data and tackle the problems highlighted. The agency was criticised by The Lancet for allegedly using weak evidence in a review of electronic cigarettes to endorse an estimate that e-cigarette use is 95% less hazardous than smoking: "it is on this extraordinarily flimsy foundation that PHE based
1254-630: Was created by the Ministry of Health Act 1919 as a reconstruction of the Local Government Board. Local government functions were eventually transferred to the minister of housing and local government , leaving the Health Ministry in charge of health matters. From 1968, it was amalgamated with the Ministry of Social Security under the secretary of state for social services , until the de-merger of
1292-610: Was in response to mistakes in decision making during the COVID-19 pandemic, including issues with the supply of personal protective equipment for healthcare workers, low community testing capabilities, and insufficient data resourcing. Several health experts, including Jeremy Farrar, Director of the Wellcome Trust, criticised the move to abolish PHE during an ongoing pandemic, with Richard Murray, Chief Executive of The King's Fund, stating that PHE "appears to have been found guilty without
1330-628: Was introduced to the House of Commons in January 2011, and was the subject of a report by the Health Select Committee in October. Responding to criticism, the government published "Healthy Lives, Healthy People: Update and way forward" in July. The Health and Social Care Act gained royal assent in March 2012, with all elements of the new system to be operative by April 2013. The Act established Public Health England as an executive body accountable to
1368-482: Was later found to be unlawful. Michael Brodie, current CEO of the NHS Business Services Authority , was appointed as interim PHE CEO, replacing Duncan Selbie . In March 2021, it was announced that the new agency would instead be called the UK Health Security Agency , commencing on 1 April and led by Jenny Harries (formerly a regional director at PHE and Deputy Chief Medical Officer for England ). The new UKHSA would focus on infectious disease control, particularly
1406-401: Was required to appoint a director of public health, an officer of the authority who was responsible for the authority's public health functions including responding to emergencies. As of 2020 there were 134 of these posts. A reorganisation of public health protection in England was announced by the then Secretary of State for Health and Social Care , Matt Hancock , in August 2020. The move
1444-459: Was titled Secretary of State for Health , before Prime Minister Theresa May added "and Social Care" to the designation in the 2018 British cabinet reshuffle . The officeholder works alongside other health and social care ministers . The corresponding shadow minister is the shadow secretary of state for health and social care , and the secretary of state is also scrutinised by the Health and Social Care Select Committee . The position
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