The scandal of 'public health' money being spent on health

A lot of the 'cuts' in the supposed era of austerity are imaginary. The education budget was ring-fenced from the outset and the NHS budget has risen year-on-year. Pensions have increased in line with the ludicrously generous triple lock. Between them, these three budgets make up the majority of government spending.

But one area where there really have been cuts is in central government grants to local authorities. Councils get most of their money from central government and these grants have fallen appreciably - and look set to continue falling.

Among these grants is the money they get from Public Health England. There has been a lot of chatter about 'public health' budgets being 'slashed' by the evil Tories and a lot of junk economics from those whose livelihoods depend on the gravy train continuing.

In January, born again teetotaller Nick Cohen wrote an overwrought piece for the Observer in which he bemoaned the cuts to 'public health' but failed to mention the size of the budget, perhaps because it is so enormous that people would be sanguine about a five per cent cut. In 2016/17, Public Health England's budget was £4.5 billion, of which £3.4 billion went to local authorities.

Moreover, the 'public health' budget for local authorities has risen over the years, from £2.8 billion in 2014/15, to £3 billion in 2015/16 and then to £3.4 billion. Bear these figures in mind when you hear that the 'public health' budget is going to be 'slashed' by £170 million in the next two years. In real terms, the budget will still be bigger than it was three years ago.

This gigantic stack of cash is ring-fenced for 'public health' which is great news for fat cat Directors of Public Health and the various parasitic 'stakeholders' that live off the 'health and wellbeing' industry. It is not so good for residents.

Many local councillors resent being forced to spend money on useless nanny state projects while budgets for genuine public services are cut. Hats off, then, to Northamptonshire City Council for this...

Northamptonshire County Council: £10m public health grant probe

A council dubbed the "worst-run in the country" is under investigation over allegations it used millions of pounds ring-fenced for public health to prop up other services.

Northamptonshire County Council is in talks with Public Health England about the possible "claw-back" of up to £10m.

It comes after the authority voted for almost £40m in budget cuts.

Conservative council leader Heather Smith said the money "may have been spent in adult social care".

She added: "It is debatable whether that was a public health need or not."

Social care may not be a 'public health' need, but it is a health need and I suspect that if local residents were asked if they wanted the money to be spent on helping the sick and infirm or spent on hassling people about their lifestyles, there would be a strong majority for the former.

The county council received more than £70m in funding from Public Health England over a two-year period.

It was meant to be used only for specific purposes, such as health education and smoking cessation services.

Alas...

Mrs Smith said the money "may have been spent in adult social care, looking after people in some way or another".

Shocking stuff. We can't have 'public health' budgets spent on looking after people!

The fact is that Northamptonshire County Council is skint. Really skint. And yet, like other councils, it has been forced to employ an army of bureaucrats and busybodies to run fatuous, jargon-riddled projects which stretch the concept of 'public health' to breaking point by including things like 'financial wellbeing' and 'social wellbeing'. Its Public Health Director is on £155,000 a year and it has created a 'public health' mini-quango called First for Wellbeing (budget: £17 million) which does lots of 'fun activities' that are enjoyed by a tiny proportion of the local population.

It also parrots the usual inaccurate nanny state propaganda such as...

It might not seem like you are drinking too much, but even having just one or two drinks on most nights can do serious harm to your health, both physically and mentally.

And...

Frequent exposure to other people’s smoke will almost put them at as much risk as an actual smoker!

You can see why councillors might think that 'looking after people in some way or another' is a better use of £10 million than continuing to pour it down this money pit. Northamptonshire County Council may be the 'worst-run in the country' but in this instance it is a beacon of hope that every other council should follow.

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