JOINT DIRECTOR OF PUBLIC HEALTH JOB DESCRIPTION

JOINT DIRECTOR OF PUBLIC HEALTH JOB DESCRIPTION Employing organisation: London Borough Waltham Forest Grade/Salary: 88-98,000 (permanent). Interim Daily Rate 910. Responsible to: Deputy Chief Executive Families Waltham Forest Management: up to 10 staff Job Summary: The core focus of this job is to understand and improve the health of the people of the boroughs of Waltham Forest. The post holder will work to develop an approach which: Develops a clear, targeted long term strategy that ensures health and social care, education, housing, jobs and economic policies deliver maximum improvements in health and wellbeing Minimises the adverse effects of change and potential threats to health on the long term health of the population Focuses on the contribution which local authorities can make to improve the health and wellbeing of communities through their statutory responsibilities and powers with respect to health protection and health scrutiny Harnesses council activities and areas of influence to ensure they impact on improving the health of the local population Provides advice to all members of the Council s leadership on effective interventions across the Council to reduce health inequalities and on to other public health matters Delivers on the mandated areas, e.g., National Children Measurement Programme, core-offer advice to Clinical Commissioning Groups To inform, lead and support a Commissioning programme which helps to deliver the mandate Influences the level, distribution and quality of services the local authority directly commissions or provides Leads partnership working by public and private sector agencies on key priorities such as community safety, substance misuse prevention and treatment Influences local policy development including work as appropriate with the Shadow London Heath Improvement Board Develops comprehensive Joint Strategic Needs Assessments for the local population Provides high quality support to the Clinical Commissioning Group Develops and promotes personalised and outcome-focused services The post holder will be: A visionary and transformational leader with a full understanding of relationships and the culture of organisation that impacts on the wider determinants of health Able to effectively lead a team/teams and partnerships within Waltham Forest Page 1 of 11

A highly skilled part of the senior management arrangements of the Council and will have a direct access to the Chief Executive and elected members for the exercise of the local authority s public health functions Able to give high quality independent advice on issues relating to all aspects of health A powerful figure in forging partnerships with, and influencing, all local agencies to ensure the widest possible participation in the health and wellbeing agenda Able to demonstrate corporate skills in strategic leadership within and across organisations A skilled and trusted communicator particularly in a crisis Intellectually rigorous and credible with a commitment to teaching and research in collaboration with academic departments Demonstrably accomplished in improving the health of communities, including through the ability to develop a deep understanding of their needs Highly politically aware Fully understanding of and committed to addressing the relationships and cultures of organisations that impact on the wider determinants of health Able to coordinate high quality advocacy across all three domains of public health: health improvement, health protection and health and social service quality Flexible and able to cope with multiple and changing demands, and tight deadlines Exceptional at people management both in relation to developing the public health community and in helping to develop the public health leadership of organisations and the wider workforce The post holder will: Produce independent annual reports on the health of the populations, progress on improving health and reducing inequalities Provide specialist public health advice to commissioners on priorities for health and social care spending and the appropriate configuration of services within and between local authorities Support the Local Resilience Forum in developing comprehensive multi agency plans for anticipated threats to public health Develop clear, targeted strategies that ensure health and social care, education, housing, jobs and economic policies and infrastructure are shaped in ways which deliver maximum improvements in health and wellbeing Be responsible for leading the development and driving the implementation of strategies and programmes to improve the health and wellbeing of the local population and to reduce inequalities in health Provide public health advice to London Borough of Waltham Forest and the Clinical Commissioning Group and other partner agencies on the identification of local health priorities, the implementation of action to address these priories and the setting and monitoring of local targets Be a member of and advise the Health and Wellbeing Boards in developing Health and Wellbeing Strategies and develop partnerships with all local agencies to ensure the widest possible participation in the health and wellbeing agenda Work closely with Public Health England, as it develops, and other relevant organisations to ensure high levels of local resilience Keep abreast of national policy and legislative developments and changes relevant to public health Provide policy advice in respect of changes in legislation and national and local trends Contribute towards the development of council corporate policies, procedures and practice Contribute towards the medium term planning process, identifying base budget pressures and opportunities for reducing expenditure/ensuring Value for Money Page 2 of 11

Comply with relevant legislation and guidance issued The job description will be subject to review in consultation with the postholder in the light of the needs of the development of the speciality of public health and any wider developments in the field of public health. Management Responsibilities: The post holder will: 1. Manage the Public Health team which includes approximately 10 staff and work closely with Service Design team 2. Hold the Public Health corporate and commissioning budgets 3. Be a Chief Officer and be a member of the Senior Management Group, Families Directorate 4. Manage Speciality Registrars in Public Health 5. Participate in the staff appraisals scheme and audit, and ensure performance management, appraisal and development of any staff for which s/he is responsible 6. Contribute actively to the learning and development programme within the borough and to the training of practitioners and primary care professionals 7. Be expected to take part in Council on-call rotas and the London DsPH emergency planning rota as appropriate depending on local circumstances and dependent on what Public Health England needs Expected behaviours: Effective Performance You operate at a strategic level in relation to managing performance and agreeing organisation goals. You develop a culture where it is clear that a high level of performance is expected in order to achieve service outcomes. You set and manage budgets effectively. You lead on the implementation of Councils/Organisations expectations. Keeping it Professional You strategically interpret guidelines, for example, government or regulatory guidelines for Councils/Organisations. You strategically lead on the implementation of such guidelines. Working Together You strategically plan and work with partners. You advise and lead other managers on partnership bids, contracts and initiatives. In consultation with partners and others you devise, review and evaluate strategies in line with your service needs and effectively communicate them to others and ensure that they are implemented. You foster powerful and productive relationship across internal and external agencies Community and Customer Focus You work strategically to support and develop a culture of effective community engagement and customer outcomes. You interpret new and existing guidelines for customer service and community engagement and develop strategies to effectively implement them. Know and develop yourself and others You act strategically to identify the skills and talents required by staff groups to deliver current and future objectives. This includes interpreting new guidelines that have an impact on the learning needs of others and designing/procuring new learning policies/toolkits. You can explain how learning and development has improved the performance of the organisation. Managing Change You develop a culture in which change is viewed positively. You strategically lead and direct managers on the changes required and ensure they are implemented and embedded. You ensure that the changes comply with government and Council requirements. Page 3 of 11

Inspiring Others You provide clear strategic direction within and outside the Council. You create a culture which inspires, motivates and supports people to realise their full potential CORE COMPETENCY AREAS Surveillance and assessment of the population s health and wellbeing To ensure the proper design, development and utilisation of major information and intelligence systems to underpin Public Health improvement and action for the population across disciplines and organisations. To receive, interpret, provide and advise on highly complex epidemiological and statistical information about the health of population of the local authority, NHS and voluntary organisations. To ensure the use of the best available evidence base to support the assessment of health needs, health inequalities, health impact assessment and the identification of areas for action within the local population. To produce annual reports on the health of the population of Waltham Forest. Assessing the evidence of effectiveness of health and healthcare interventions, programme and services To provide expert public health advice and leadership support and inform an evidence-based approach within ethical frameworks for commissioning and develop high quality equitable services, across primary, secondary and social care, and across sectors including local authorities, voluntary organisations and others, in potentially contentious and hostile environments where barriers to acceptance may exist. To be responsible for leading on service development, evaluation and quality assurance governance in specific areas and for preparing and adjusting action plans in line with changing needs and changing geographical boundaries. To provide expert advice to support evidence based commissioning, prioritisation of services for the population (and in some circumstances for the individual) in order to maximise opportunities for health. Policy and strategy development and implementation To lead on the communication, dissemination, implementation and delivery of national, regional and local policies and public health strategies, developing inter-agency and interdisciplinary strategic plans and programmes, with delegated authority to deliver key public health targets. To act in an expert advisory capacity on public health knowledge, standards and practice, across the spectrum of public health at Board or equivalent level. To be responsible for the development and implementation of multi-agency long term public health programmes as required, based on identification of areas of potential health improvement, the diversity of local needs and the reduction of inequalities. To ensure proper linkages between the health agenda and strategies related to the wider determinants including for example, community safety, the environment and sustainability Leadership and collaborative working for health To take the lead in developing inter-agency and interdisciplinary short and long-term strategic plans for securing health improvement both in the general population and in vulnerable groups at high risk of poor health and reduced life expectancy, in partnership with a range of agencies such as those in the statutory, non-statutory, voluntary and private sectors. To work with primary care professionals and community staff to raise awareness of their public health role. Page 4 of 11

To lead on the integration of health, social services and voluntary organisations to promote effective joint working to ensure delivery of the wider government targets. To influence external agencies in their public health policy decisions. DEFINED COMPETENCY AREAS Health Improvement To be responsible for designated areas of health improvement programmes and public health surveillance. To take an executive Director Leadership role in specified areas with local communities and vulnerable and hard to reach groups, helping them to take action to tackle health inequality issues, using community development approaches as appropriate. To provide expert knowledge to ensure effective community involvement with regard to all the work of the organisation including commissioning and prioritising high cost services and to ensure that policies and strategies are interpreted, developed and implemented all levels. Health Protection To take responsibility for safeguarding the health of the populations in relation to communicable disease, infection control and environmental health, including working with the NHS Commissioning Board on immunisation targets. To ensure that effective local arrangements exist for covering the on call rota for the effective control of communicable disease, environmental hazards to health and emergency planning as detailed in local health protection agreements. To communicate effectively and diplomatically with a wide audience including the media and the public to change practice in highly challenging circumstances such as communicable disease outbreaks and chemical incidents. Service Improvement To provide expert advice to support evidence based commissioning, prioritisation of health and social care services for the population (and in some circumstances provide highly specialised advice on preferred treatment options or protocols based on the evidence for individual patients) in order to maximise opportunities for health. Contribute to implementation of NICE and National Service Frameworks or equivalent national standards, guidance and frameworks. Contribute to the development of clinical governance and audit. To review evidence and providing highly specialised advice on preferred treatment options or protocols based on the evidence for individual patients. Public Health Intelligence To analyse and evaluate quantitative and qualitative data and research evidence from a range of sources to make recommendations and inform decision making which has long term impacts. To compare, analyse and interpret highly complex options for running projects identified as key public health priorities, and communicate this information across organisations and the local community. To be responsible for the identification and implementation of appropriate health outcome measures, care pathways, protocols and guidelines for service delivery across patient pathways for the local population Page 5 of 11

To work with the information and intelligence arm of Public Health England and other organisations to strengthen local, regional and national public health intelligence and information capacity. Academic Public Health/ Research and Development To undertake and commission literate reviews, evaluative research surveys, audits and other research as required, to inform equitable service and reducing health inequalities. This may involve taking the lead on R&D public health and related activities To develop links with local universities to ensure the work of the organisation is based on a sound research and evidence base To develop public health capacity through contributing to education and training and development within the Directorate, and within the wider workforce ADDITIONAL RESPONSIBILITIES Systems and Information The DPH will make high level use of information from a wide range of local government and NHS systems and sources. Significant use will be made of both national and local data. High level information governance is required given the confidentiality of data and the need to share data on an interagency basis. Data protection To comply with the Council s policies and supporting documentation in relation to Information Governance this includes Data Protection, Information Security and Confidentiality. Health and safety Be aware of and implement health and safety responsibilities as an employee and Corporate Director and where appropriate any additional specialist or managerial health and safety. responsibilities as defined in Health and Safety policies and procedures To work with colleagues and others to maintain health, safety and welfare within the working environment. Equalities Aim to make sure that services are provided fairly to all sections of our communities, and that all existing and future employees have equal opportunities Ensure services are developed and delivered in accordance with the aims of the Equality Policy Statements in response to the needs and aspirations of service users. On Call Arrangements The postholder may be expected to participate in communicable disease and environmental hazards control and emergency planning arrangements. Suitable training will be provided for those who need it in discussion with the Health Protection Agency/ Public Health Englands, London Emergency Planning rota as required. Public Interest Disclosure Should the post-holder have cause for genuine concern about an issue (including one that would normally be subject to confidentiality) and believes that disclosure would be in the public interest, Page 6 of 11

he or she should have a right to speak out and be afforded statutory protection and should follow local procedures for disclosure of information in the public interest. Flexibility London Borough of Waltham Forest provides front line services, essential services and recognises the need to respond flexibly to changing demands and circumstances. Whilst this job outline provides a summary of the post, this may need to be adapted or adjusted to meeting changing circumstances. Such changes would be commensurate with the grading of the post and would be subject to consultation. All staff are required to comply with the London Borough of Waltham Forest s Policies and Procedures. Customer Service The London Borough of Waltham Forest requires a commitment to equity of access and outcomes, this will include due regard to equality, diversity, dignity, respect and human rights and working with others to keep vulnerable people safe from abuse and mistreatment. The London Borough of Waltham Forest requires that staff offer the best level of service to their customers and behave in a way that gives them confidence. Customers will be treated as individuals, with respect for their diversity, culture and values. Date of Issue: 1 October 2014 Page 7 of 11

DIRECTOR OF PUBLIC HEALTH PERSON SPECIFICATION Education/Qualifications Essential Desirable Inclusion in the GMC Specialist Register/GDC Specialist List or UK Public Health Register (UKPHR) If included in the GMC/GDC Specialist Register in a specialty other than public health medicine/dental public health, candidates must have equivalent training and/or appropriate experience of public health medicine practice Public health specialist registrar applicants who are not yet on the GMC Specialist Register/GDC Specialist List in dental public health/ukphr must provide verifiable signed documentary evidence that they are within 6 months of gaining entry at the date of interview: all other applicants must provide verifiable signed documentary evidence that they have applied for inclusion in the GMC/GDC/UKPHR specialist registers [see shortlisting notes below for additional guidance] Applicants must meet minimum CPD requirements (i.e. be up to date) in accordance with Faculty of Public Health requirements or other recognised body MFPH by examination, by exemption or by assessment Personal qualities Transformational and visionary leader Commitment to adding public health values to corporate agendas Strong commitment to public health principles Able to prioritise work, and work well against a background of change and uncertainty Adaptable to situations, able to handle people of all capabilities and attitudes Commitment to team-working, and respect and consideration for the skills of others Self-motivated, pro-active, and innovative High standards of professional probity Experience Minimum of three years experience of public health practice at senior level High level project management skills Excellent staff and corporate management and development skills Experience of working in complex political and social environments Excellent change management skills Budget management skills Training and mentoring skills Scientific publications, presentation of papers at conferences, seminars etc. Page 8 of 11

Skills Strategic thinker with proven leadership skills Excellent oral and written communication skills (including dealing with the media) Effective interpersonal, motivational and influencing skills Ability to respond appropriately in unplanned and unforeseen circumstances Good presentational skills (written and oral) Sensible negotiator with practical expectation of what can be achieved Substantially numerate, with highly developed analytical skills using qualitative and quantitative data Computer literate Ability to design, develop, interpret and implement policies Ability to concentrate for long periods (e.g. analyses, media presentations) Resource management skills Knowledge High level of understanding of epidemiology and statistics, public health practice, health promotion, health economics and health care evaluation Full understand of and commitment to addressing relationships and cultures of organisations that impact on the wider determinants of health Full understanding of and commitment to delivery of improved health through mainstream NHS activities Understanding of NHS and local government cultures, structures and polices Knowledge of methods of developing clinical quality assurance, quality improvement and evidence based clinical and/or public health practice Understanding of social and political environment Understanding of interfaces between health and social care Page 9 of 11

Shortlisting notes The Faculty of Public Health advises that in order to be shortlisted for a consultant post applicants who are not yet on the GMC Specialist Register/GDC Specialist List in dental public health.uk Public Health Register (UKPHR), must provide verifiable signed documentary evidence that an application for inclusion on one of these specialist registers is in progress as follows: 1. Applicants in training grades Public health Specialist Registrars and Specialist Trainees in a recognised UK public health training scheme must provide evidence to confirm that they are within SI months of award of their certificate of completion of training (CCT) and inclusion in the GMC Specialist Register/GDC Specialist List in dental public health/ukphr at the date of interview (i.e. the expected date of award of their CCT must fall no more than six months after the date of interview). Please note that from January 2005 in England, May 2005 in Scotland and November 2005 in Northern Ireland and Wales, this period has been extended from the three months required previously. The documentary evidence should be: Either a RITA Form G (Final Record of Satisfactory Progress) or a letter from the postgraduate dean (or Faculty Adviser) specifying the expected date for completion of training (which must be not more than six months after the date of interview) 2. Applicants in non-training grades 2.1 doctors (i.e. medical practitioners) Doctors outside recognised UK public health training schemes fall into a number of categories: those who have trained outside the UK, who may have specialist training and qualifications which they are seeking to have recognised by the General Medical Council (GMC) in order to gain registration with the GMC: these doctors may be shortlisted according to the following 2005 guidance from the Department of health and Scottish Executive which indicates that there will be some instances (for example when considering applicants trained outside the UK) where an AAC may choose to interview a candidate prior to [GMC] Specialist register entry. In these circumstances, it will wish to be satisfied that subsequent Specialist Register entry is likely. Employers should ask the applicant to provide documentary evidence that he/she has submitted an application to the GMC which is eligible for consideration at the time of application (for shortlisting). those who have not completed specialist training in the UK who are seeking entry to the GMC Specialist Register through article 14 of the European Specialist Medical Qualifications Order (ESMQO), which allows the GMC to consider not only training but also relevant experience: these doctors may Page 10 of 11

have trained in or outside of the UK. Again, employers should ask the applicant to provided documentary evidence that he/she has submitted an application to the GMC which is eligible for consideration at the time of application (for shortlisting). 2.2 applicants from a background other than medicine other than trainees (see 1 above), applicants from a background other than medicine would normally be expected to have gained full registration with the UKPHR. However, exceptionally, individuals who can demonstrate that they have submitted a portfolio application to the UKPHR may be considered for shortlisting. Suitable evidence will be a letter from the UKPHR acknowledging receipt of the portfolio application. Other than trainees (see 1 above), applicants from a background in public health dentistry must be included in the GDC Specialist List in dental public health. However, those who can demonstrate that they have submitted an application for inclusion on the GDC specialist list in public health dentistry may be considered for shortlisting. Employers should ask the applicant to provide documentary evidence that he/she has submitted an application to the GMC which is eligible for consideration at the time of application (for shortlisting). Employers are advised that individuals should not take up consultant in public health medicine or consultant in public health posts (including DPH posts) until such point as they have gained entry to the GMC Specialist Register/GDC Specialist List in dental public health/uk Public Health Register. Although applicants will be able to provide documentary evidence that an application is in progress, no guarantee can be made as to the outcome of an application to the GMC/GDC/UKPHR specialist registers. The above guidance applies to applications for both general and defined specialist s registration with the UKPHR. Individuals with defined specialist registration are eligible for consideration for shortlisting for, and appointment to, consultant posts including those at DPH level. In all appointments, employers will wish to ensure that an applicant s area of competence meet those required in the person specification. Page 11 of 11