May Pathfinder Listening and Learning  event breakout session: Health and Wellbeing Boards and effective working with Local Government
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May Pathfinder Listening and Learning event breakout session: Health and Wellbeing Boards and effective working with Local Government

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A summary of the outputs from the breakout session on Health and Wellbeing Boards and effective working with Local Government at the Pathfinder Listening and Learning Network event on 24 May 2011

A summary of the outputs from the breakout session on Health and Wellbeing Boards and effective working with Local Government at the Pathfinder Listening and Learning Network event on 24 May 2011

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  • 1. Health and Wellbeing Boards and effective working with Local Government Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011
  • 2. Overview Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Health and Wellbeing Boards and effective working with Local Government This session covered the potential of Health and Wellbeing Boards with regard to the White Paper proposals. Almost 90 percent of all local authorities have signed up to be early implementers of new cross-working boards.
  • 3. Key discussion points
    • The group were concerned that there are not yet formal agreements on the power and influence of Health and Wellbeing Boards. However, the group were viewing this as an opportunity
    • People viewed scrutiny committees as a powerful element for driving local accountability and Health and Wellbeing Boards. Taking account of any conflict of interest the link to them could be explored
    • The group’s view was that public health risks being diluted. They saw that Health and Wellbeing Boards would have a role to play in ensuring that this skilled expertise remains available to commissioners in the future. They anticipated tensions between the Commissioning Board, Public Health England, and Health and Wellbeing Boards as the system develops
    Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Health and Wellbeing Boards and effective working with Local Government
  • 4.
    • A further theme was Local Authorities possibly looking to NHS budgets to supplement reduced Local Government budgets – and the need for openness and transparency in this
    • The group explored who would be ultimately responsible for the budget and considered the concepts of shared pots
    • There was general agreement that planning by Health and Wellbeing Boards needs to be strategic but deliverable – In the sense that short and medium term goals will need to demonstrate improvements are being delivered
    • Multiple approaches to board structures are possible but having a patient voice on the board was a popular concept. The need for mechanisms to ensure that local political cycles did not affect the cohesiveness of the boards were also seen as important
    Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Health and Wellbeing Boards and effective working with Local Government
  • 5. Next steps - locally
    • Health and Wellbeing Boards need to maintain the local feel they have and continue to support their local population
    • Spend public health money on public health issues and not elsewhere
    • Decide at a local level the make up of the board and the division of power
    • Engage with the public upfront so that Health and Wellbeing Boards do not come as a surprise
    • Health and Wellbeing Boards should consider how to hold themselves to account for delivery – including that of JSNA
    • GPs should take advantage of providing information flows from the ground (patient) up
    • Consider the structure of your Health and Wellbeing Board. One possibility is a smaller board with reference groups
    Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Health and Wellbeing Boards and effective working with Local Government
  • 6. Next steps - nationally
    • There is a need to set out how the links between the NHS Commissioning Board and Health and Wellbeing Boards will work
    • The group would welcome clarity on accountabilities in the developing system
    • Public Health England should be looking to address the issues of staffing and retention of public health colleagues
    • Examples of learning at a local level needs to be collated nationally and shared
    • Consider whether the re-ablement fund should sit with Health and Wellbeing Boards
    Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Health and Wellbeing Boards and effective working with Local Government