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W2   is this what the doctor ordered - phil coppard
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W2 is this what the doctor ordered - phil coppard

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Transcript

  • 1. LGA Conference Birmingham 28 th June,2011
    • Phil Coppard, OBE
    • Chief Executive
    • Barnsley MBC
    Is this what the doctor ordered?
  • 2. Context
    • New territory for all of us
    • Prisoners of our own experience?
    • Still changing?
    • HWBs now put local authorities centre stage
    • New direct connection with GPs
    • Opportunity for real influence through thorough needs assessment, challenging strategy AND oversight of actual commissioning
  • 3. Role of HWB
    • Clinical commissioning groups co terminus with local authority boundaries and hence HWB
    • Responsible for JSNA and Health and Well Being strategy
    • Role in promoting joint commissioning and integrated provision between health, public health and social care, inc. as vehicle for “lead commissioning”
    • Role in authorising clinical commissioning groups
    • Lead on local public involvement
    • Ability to refer back commissioning plans not in alignment with HW Strategy
    • Membership determined by local authority including the ability to have a majority of elected councillors
  • 4. Practical issues for local authorities
    • Health and social care needs dependent on social-economic and other circumstances of place
    • Need to instil preventative agenda and tackle health inequalities when resources consumed by
      • Ageing population
      • Pressure of continuing health care needs
      • Dependency and the worried well
      • Insatiable cost of secondary/acute care
    • Need to dissolve distinction between health and social care but
      • Health and social care funding allocated separately
      • Health care free at the point of delivery
    • Need to avoid cost shunting
    • Access to and modernisation of health care facilities – local hospitals?
    • Common assessment of individual’s needs
    • Continuation of drives for personalisation
  • 5. A model of “needs”
    The place where you live Community Family Peers Jobs Worklessness Income levels Crime and disorder School organisation Housing Public realm Facilities and amenities The behaviours you choose Lifestyle Exercise Diet Smoking Drugs Anti-social behaviours Education and skills The services you use Clinical and social care services Local authorities and others mitigating these risk factors
    • put in place
    • protective factors
    • community based
    • Big Society
    • social capital
    • self esteem
    • happiness
    NHS Local Authorities Public Health social marketing preventative programmes Clinical commissioning groups Acute Trusts Local Authorities Public Health treatment service improvement joining-up personalisation Source: with apologies to DoH Health Inequalities: Progress and Next Steps – June 2008