Healthy Lives, Healthy People: Consultation on the funding and commissioning routes for public health

Closed 31 Mar 2011

Opened 21 Dec 2010


The White Paper Healthy Lives, Healthy People , described a new era for public health, with a higher priority and dedicated resources. There will be ring-fenced public health funding from within the overall NHS budget.  Local authorities will have a new role in improving the health and wellbeing of their population as part of a new system with localism at its  heart and devolved responsibilities, freedoms and funding. The majority of the public health budget will be spent on local services, either via local authorities through a ring fenced grant or via the NHS. The Department of Health will incentivise action to reduce health inequalities by introducing a new health premium. The purpose of this consultation document is to describe in more detail the proposed key public health functions and responsibilities across the public health system and to set out the proposed commissioning and funding arrangements for delivery of public health services. This consultation document also asks questions about how we should implement some of these proposals.

This consultation will close on 31 March 2011. You can contribute to the consultation by completing it here online or providing written comments to:
By email:
By post: Public Health Consultation, Department of Health, Room G13, Wellington House, 133-155 Waterloo Road, London SE1 8UG

Some of the detail in this consultation is subject not only to the outcomes of this consultation, but also – particularly those requiring legislation – to Parliamentary approval.

The proposals in this consultation document apply to England, but we will work closely with the Devolved Administrations on areas of shared interest.

Why We Are Consulting

As set out in Healthy Lives, Healthy People, the Department will take forward work in partnership with relevant organisations, seeking their help and expertise in developing proposals that work in practice.

We will arrange a programme of consultation and policy development events around England. Details will be posted on the Department of Health website as well as advertised through stakeholder networks.


The consultation process

Criteria for consultation

The consultation follows the Government Code of Practice on consultation. In particular we aim to:

  • formally consult at a stage where there is scope to influence the policy outcome;
  • consult for at least 12 weeks and consider longer timescales where feasible and sensible;
  • be clear about the consultation's process in the consultation documents, what is being proposed, the scope to influence, and the expected costs and benefits of the proposals;
  • ensure that the consultation exercise is designed to be accessible to, and clearly targeted at, those people it is intended to reach;
  • keep the burden of consultation to a minimum to ensure consultations are effective and to obtain consultees’ buy in to the process;
  • Analyse the responses carefully and give clear feedback to participants following the consultation
  • ensure officials running consultations are guided in how to run an effective consultation exercise and share what they learn from the experience.


The full text of the code of practices is on the Better Regulation website.   


How to comment on the consultation process

If you would like to make any comments about the consultation process we have followed, please contact the Consultations Co-ordinator, Department of Health, 3E58 Quarry House, LEEDS, LS2 7UE. Email:  Please do not send answers to the consultation questions to this address or mailbox.


Confidentiality of information

We manage the information you provide in accordance with the Department of Health’s Information Charter.

Information we receive, including personal information, may also be published or disclosed in accordance with the access to information regimes (primarily the Freedom of Information Act 2000 (FOIA), the Data Protection Act 1998 (DPA) and the Environmental Information Regulations 2004).

If you want the information you provide to be treated as confidential, please be aware that, under the FOIA, there is a statutory code of practice with which public authorities must comply and which deals, among other things, with obligations of confidence. In view of this, it would be helpful if you could explain to us why you regard the information you have provided as confidential.  If we receive a request for disclosure of the information, we will take full account of your explanation, but we cannot give an assurance that confidentiality can be maintained in all circumstances.  An automatic confidentiality disclaimer generated by your IT system will not, of itself, be regarded as binding on the Department of Health.

The Department of Health will process your personal data in accordance with with DPA and in most circumstances this will mean that your personal data will not be disclosed to third parties.

What Happens Next

A summary of the response to this consultation will be made available before or alongside any further action, such as laying legislation before Parliament, and will be placed on the Consultations website at


  • Voluntary groups
  • Community groups
  • Civil society
  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of Public Health
  • Pharmacists
  • Doctors
  • Midwives
  • Healthcare scientists
  • Paramedics
  • Dentists
  • Art therapists
  • Dramatherapists
  • Music therapists
  • Chiropodists/ podiatrists
  • Dieticians
  • Occupational therapists
  • Orthotists
  • Orthopists
  • Prosthetists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Foundation Trusts
  • Regulatory body
  • Academic/ Professional institution
  • Local authority
  • Directors of Adult Social Care Services
  • Members of the public
  • Patients
  • Service users


  • Nutrition
  • Children's health and development
  • Physical health
  • Health inequalities
  • Infectious disease
  • Vascular disease
  • Obesity
  • Environment
  • Sexual health
  • Alcohol misuse
  • Drug misuse
  • Public health
  • Health protection
  • Health improvement
  • Immunisation
  • Smoking
  • Public mental health
  • Tobacco
  • Physical activity
  • Public Health England
  • Health premium
  • Well-being
  • NHS Health Checks
  • Screening
  • Prevention
  • Oral public health
  • Health Protection Agency
  • Primary care
  • GP consortia
  • Health and well-being boards
  • Funding
  • Commissioning
  • Accountability
  • Transition