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<p>The Government considers all the relevant factors in setting the level of the public
health grant. Over the five years of the current spending review period we are making
over £16 billion of grant funding available to local authorities in England exclusively
for use on improving health. The grant is only a proportion of the total spending
on public health: for example, NHS England commissions national screening and immunisation
programmes with a budget of £1.2 billion in 2017/18, and many other interventions
occur in National Health Service primary care settings. Public Health England monitors
progress against the wide-ranging set of indicators published in the Public Health
Outcomes Framework (PHOF) which shows that, as a whole, for the majority of PHOF indicators
the trends in England are either broadly constant or have improved in comparison with
2014.</p>
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