Health services are crucial to any new endeavour to intervene early to deliver better outcomes for children and families via their unprecedented reach to disadvantaged families, high levels of trust, and community base. And as ministers in other government departments also point out, health is the place that still has the money to make it happen. But the reality on the frontline is that services are still fragmented. One potential solution to this lies in the government's proposals to hand back responsibility for public health in England to local authorities, with new health and wellbeing boards at a local level.
As health services enter a period of unprecedented reform, the stakes are high. Can a reformed public health system be a vehicle to deliver the crucial outcomes that will improve life chances, or will those opportunities get lost in the whirlwind of change? As the consultation on the public health white paper closes, the jury is firmly out.
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