Today's public health grant announcement provides some certainty, but more investment is needed over the longer-term Health Foundation response to the public health grant allocations

17 March 2020

About 2 mins to read

In response to the announcement of the public health grant allocations 2021-21, David Finch, Senior Fellow at the Health Foundation, said: 

‘It is good news that year-on-year cuts to the public health grant have come to an end, and the 2.6% real term increase announced today is a welcome improvement on the settlement that had been expected. However, the £80 million above inflation increase announced today still leaves the grant at 22% lower on a real term per capita basis than in 2015/16 and says nothing about future allocations. The late confirmation and lack of a long settlement has made it difficult for local authorities to plan effectively.

‘Local authority public health teams have a vital part to play in the national response to COVID-19, working alongside the health care service. The current situation reinforces the need for a properly funded, resilient local public health system.

‘The grant also supports local authorities to deliver vital preventative and treatment services, including help to stop smoking, children’s health services, sexual health clinics and drug and alcohol services. In the longer term, public health funding is therefore of crucial importance to address the stalling of improvements in life expectancy and widening of health inequalities highlighted in The Marmot Review 10 Years On.

‘While today’s grant provides some much-needed certainty for the next year, looking ahead the government should restore the grant to 2015/16 levels by investing an extra £1 billion a year and then ensure that the grant keeps pace with growth in NHS England spend.’

Notes to editors

Public health grant allocations have fallen in real terms from £4.0 billion in 2015-16 to £3.2 billion in 2020/21. On a per head basis that equates to a 22% cut since initial allocations were made in 2015/16, falling from £72.50 per head down to £56.70 per head in 2020/21.

The government today announced a £145m cash increase in the public health grant for 2020/21. That is an additional £60m cash increase on the £85m funding suggested at the Spending Round 2019.

In real terms, accounting for inflation using the latest OBR published GDP deflator that equates to an £80m real term increase in the public health grant between 2019/20 and 2020/21.

Media contact

Diana Mackie
020 7257 8039

Further reading

Long read

The nation's health

19 November 2019

About 8 mins to read

Long read

We explore worrying trends that have emerged in the UK’s health in recent years and set out...


Invest in public health now, or store up problems for the future

12 June 2019

How are public health grant cuts and delayed policy decisions damaging public health? David Finch...

You might also like...

Press release

Boris Johnson didn’t ‘fix social care’ - the next PM must

Press release

Response from the Health Foundation on the Levelling-Up, Housing and Communities Committee report...


A tale of two hospitals: the pandemic and its aftermath in Berlin and London – with Professor Heyo Kroemer and Professor Tim Orchard

28 July 2022

Episode 22. Professor Heyo Kroemer of the Charité in Berlin and Professor Tim Orchard of Imperial...


How to talk about the building blocks of health


A communications toolkit showing people how to tell a more powerful story about health.

Kjell-bubble-diagramArtboard 101 copy

Get social

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more