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
Annual Business Plan

     Credible, independent
             and ambitious

                     April 2019
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.

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

  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
  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
                                                                          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).
environmental                                         improving           CRCE operates from 11 locations over England,
   hazards                   The                        global            Scotland and Wales                                                 WEST
                           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

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
                                                         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
                                                                                                                                                                                                                                             reform reduction
                                                                                                                                                                                                                                            Repor ulation prog d wider

                          first ever UK case of monkeypox                                              of calories in           Sugar                                                                  report on                           May 20
                                                                                                                                                                                                                                            5% re on progre ramme:
                                                                                                                                                                                                                                                  ductio      ss
                                                                                                                                                                                                                                                         n and towards
                                                                                                                                                                                                                                                              next st
                                                                                                                                                                                                                                                                          the fir

                                                                                                       the food that                                                                                   sugar
                                                                                                                                       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
                                                                                                                                      YOGURTS AND
                                                                                                                                     FROMAGE FRAIS
                                                                                                                                                       ICE CREAM,
                                                                                                                                                      LOLLIES AND

                                     gold standard
                                     flu vaccine this                                                                     CAKES        MORNING       SWEET SPREADS     BISCUITS        PUDDINGS

• the UK Public Health
                                                                                                                                        GOODS         AND SAUCES

  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
                                   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

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  for the G20 in Argentina                                              Januar
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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
                                                            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

• we published a world-first    • we published                                                                                                                         • we worked with NICE to review
  evidence review about           evidence reviews on
                                                                                    heate ce review
                                                                                         d            o
                                                                                   A repo tobacco p f e-cigaret
                                                                                                                                                                         and develop guidelines for
  physical activity and           e-cigarettes, mortality
                                                                                   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

  activity and positive           muscle and bone
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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
                                                      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
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

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.

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
                                                                                                               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
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
                                                                                                           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
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
                                                                                                           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

Welcome                                   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

                                                                                                                                                                                                            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
                                                                                                                                                                       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
 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)
About 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
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London SE1 8UG
Tel: 020 7654 8000 Twitter: @PHE_uk
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Published April 2019
PHE gateway number: GW-322

                                                                                                                   Public Health England supports the
                                                                                                                   UN Sustainable Development Goals
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