iHV supports today’s call by the Local Government Association (LGA) for the Government to urgently publish local council’s Public Health Grant funding allocations. This is urgently needed to bring an end to the uncertainties around budgets for health visiting and other public health services.

A lack of certainty around councils’ public health funding that they will receive from April this year risks exacerbating the growing crisis of demand for support services that has built up as a result of the pandemic.

Alison Morton, Executive Director iHV, said:

“We support the LGA’s call for an end to the delays that are holding up the announcement of this year’s Public Health Great funding allocations – councils need to get on with their planning for this coming year.

“Across the sector we are also looking to this announcement for an uplift in the Public Health Grant and long-awaited investment in health visiting and school nursing services. In last year’s Spending Review submissions, more than 700 leading children’s organisations supported the iHV’s call for investment to enable local authorities to create strong and innovative health visiting services able to play their role in increasing opportunity for our citizens and reducing long-term burdens on the NHS.

“Babies cannot wait – the time to act is now, to reverse years of cuts to the service and a postcode lottery of support for families.”

Cllr David Fothergill, Chairman of the LGA’s Community Wellbeing Board, said:

“Demand for vital treatment for drug and alcohol misuse, obesity, mental health and children’s health is rising and at risk of not being met, while we are still grappling with the impact of the Omicron surge.

“It is wrong that we are still in the dark about how much there is to spend on this essential treatment and support, which will better protect our population from future pandemics. The Government should act now and publish councils’ public health grant without further delay, so that we can get on with planning ahead for an anticipated post-Covid surge in requests for help.”

Councils need to make critical decisions on renewing contracts for vital public health services, including for health visiting, sexual and reproductive health and suicide prevention, potentially leaving people without crucial help and support.

Last year, councils received their public health funding allocations on 17 March. Less than two weeks before the start of the new financial year. This must not be repeated.

Dr Cheryll Adams CBE, Executive Director iHV, commented:

“Yesterday’s announcement of the public health grant allocations to local authorities provides a welcomed end to the lengthy period of uncertainty that has hampered service development. We hope that it will be enough to cancel immediate plans for further cuts to health visitors we have heard of from Yorkshire, London and the Midlands. Children’s potential health and wellbeing will remain at stake until a making good of the cuts to Public Health budgets over the past 5 years happens. We hope this will be announced in the next spending review.”

The Institute of Health Visiting fully supports today’s call by The King’s Fund and the Health Foundation for a reversal to cuts made to public health funding.

We endorse their call for an urgent review of the public health allocation as part of the expected roll-over grant in place of the anticipated full Spending Review. In particular, we call on the Treasury to carefully consider the wealth of evidence and benefits to society and the public purse from investment in supporting families during the crucial first 1000 Days of Life. Our children are this country’s greatest asset for the future, yet disadvantage and inequalities start early and can last a lifetime if not addressed. Recent year-on-year cuts to the public health grant are having an irreversible impact on our most disadvantaged children. These children cannot wait any longer for decent policies to ensure every child has the best start in life, with sufficient national levers and budgets to support full implementation. We are calling for action now, and our case for a strengthened health visiting service is set out in our recent letter to The Rt Hon Elizabeth Truss MP, Chief Secretary to the Treasury.

We fear that the damage done in the last 3 years will take many more to correct without urgent action now.  It is fundamentally and morally very wrong that it’s been necessary to cut child health clinics and easy access to health visiting services in many areas of the country and, in so doing, the support they once provided for thousands of parents. Prevention and early intervention is often described as “turning off the tap rather than mopping the floor”. This is essential if we are to tackle key priorities like childhood obesity; infant, child and perinatal mental health problems; falling immunisation rates; and soaring unnecessary A&E attendances in the under-fives that could so easily be addressed with better early support and opportunities for parents to talk about their worries with a trusted professional. There are now massive variations in the type of service that health visitors can offer parents up and down the country, with minimal services most often the norm.

We too call on the Treasury now to fulfill their responsibility to the public by once again investing in public health and early preventative interventions for families.