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A health and wellbeing board for Leicestershire

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Cllr Ernie White and Cheryl Davenport, Leicestershire County Council, explain their approach to setting up a health and wellbeing board for Leicestershire and outline some of the issues they …

Cllr Ernie White and Cheryl Davenport, Leicestershire County Council, explain their approach to setting up a health and wellbeing board for Leicestershire and outline some of the issues they encountered.

Published in: Health & Medicine

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  • 1. A Health and Wellbeing Board for Leicestershire Mr E. F. White, CC Chairman of the Shadow Health and Wellbeing Board Cheryl Davenport Programme Director, Health Transition PCT Cluster/Leics County Council
  • 2. Introduction from the Chair of Leicestershire’s Shadow Board
    • Track record as high performing council
    • Members welcomed a greater role for the council in Health and Wellbeing
    • Chair:
      • background in the health sector
      • a strong personal commitment to improving outcomes in partnership
    • Early decision:
      • Director of Public Health to report directly to LA Chief Executive
  • 3. Key components of our approach
    • Mandate for the work, role of our Joint Change Programme Board, programme director assigned early
    • Composition of programme team, expertise and resources for implementation
    • Early engagement of emerging GP consortia
    • Understanding the governance milestones, constraints and dependencies across the council and the PCT
  • 4. Key components of our approach (cont.)
    • Stakeholder mapping, HWB implementation engagement plan, development of core stakeholder products
    • Timing of specific communications and media handling
    • Understanding partnership structures alongside and beneath the Board
    • Relationship building with DH and other early implementers
  • 5. Some of the issues
    • Shadow vs. Statutory
    • Membership and balance of the Board
    • Implications of the pause
    • Adding value, not duplicating
    • Identifying early wins and longer range work
    • The need for a comprehensive, resource intensive stakeholder engagement plan
  • 6. Some of the issues (cont.)
    • Differences in organisational requirements and style
    • Mixed Board membership/audience
    • Clarity on relationships with other groups
    • Executive/officer support to the Board
    • What next for scrutiny?
    • Accountability in new structures – see The King’s Fund report
  • 7. Who is on the Shadow Board?
    • Cabinet Lead Members for:
      • Health (Chair)
      • Adults and Communities
      • Children and Young People
    • Two representatives of each of the Clinical Commissioning Groups (GP consortia) within the local authority area
    • Directors of:
      • Public Health
      • Adults and Communities
      • Children and Young People
  • 8. Who is on the Shadow Board? (cont.)
    • Two LINk representatives (Local Health Watch, when established)
    • The Chief Executive of the PCT Cluster (NHS Commissioning Board, when established)
    • Two District Council representatives
    • One Local Medical Committee representative
  • 9. Relationship building with GPs
    • February:
    • Introductory meetings for the LMC, GP Consortia, the Council
    • March – May:
    • GP Consortia leaders, operating managers and their wider teams join transitional work and governance arrangements at an early stage e.g.
      • HWB implementation
      • Development of joint commissioning
      • HealthWatch pathfinder
  • 10. Relationship building with GPs (cont.)
    • June/July:
    • Development sessions for GP consortia on:
    • The role of local government
    • Working with members
    • The council’s 2011/12 business plan
    • Safeguarding
    • Joint Commissioning priorities – e.g. Dementia
  • 11. Relationships with other primary care professionals
    • Specific HWB briefings for other professional groups (LPC, LDC, LOC)
    • Introductory meetings with the council:
      • How oral health needs, eye health needs and the pharmaceutical needs assessment can be better integrated with the JSNA
      • How the HWB can access the advice and expertise of other primary care professionals
  • 12. Relationships: system level
    • Development sessions for Joint Change Programme Board and Health and Wellbeing Board
      • Building relationships and trust, understanding roles and expertise
      • Sharing perspectives on what the “end state” will look like post 2013, different expectations and risks
      • Articulating what we wanted the HWB to achieve and what we wanted it to avoid
      • How to define and tackle wicked issues at system level and add public value
  • 13. System level themes
      • 4 key themes have emerged as the focus for our system level work:
        • Improving health outcomes
        • Improving service integration
        • Improving efficiency and balancing the economy
        • Organisational transition
    • The Shadow Board has developed 8 strategic priorities under themes 1-3, based on existing JSNA evidence and strategic priorities of partners
    • Organisational Transition – Transition Steering Group
  • 14. Shadow HWB – 8 Priorities
    • These 8 will form the initial focus and workplan of
    • the Board:
    • Increasing life expectancy and reducing inequalities
    • Reducing the prevalence of smoking
    • Reducing the harm caused by alcohol and drugs
    • Reducing the prevalence of obesity and physical inactivity
  • 15. Shadow HWB – 8 Priorities (cont.)
    • Improving the care of older people with complex needs and enabling more older people to live independently
    • Improving the care of adults and children with complex needs and their carers, including those with:
      • Mental health needs
      • Complex disability needs
    • 7. Shifting investment to prevention and early intervention
    • 8. Making urgent care systems for adults and children work
  • 16. Substructures and communications
    • Outline substructure developed with input from:
      • Children Board event – April
      • HWB event – May
      • LSP event – June
      • JSNA event – July
    • Key message – willingness and opportunities to do things differently in new system and use different channels and mechanisms than before
    • HWB communications and engagement plan now in development
  • 17. For further information: visit our home page
    • www.leics.gov.uk/healthwellbeingboard.htm
    • TORs
    • Presentations
    • Stakeholder briefings
    • Press info
    • FAQs
    • HWB meeting dates, agenda, papers
    • Copy of the HWB's response to the pause
    • Copy of our HealthWatch pathfinder application