VCS Adult Health and Social Care Forum   <ul><li>Health Transition -  </li></ul><ul><li>An Update from Leicester City </li...
NHS Reforms
NHS White Paper, published 12 July 2010 Signalled major change to the NHS Followed by the Public Health White Paper  Healt...
NHS Reforms - Background <ul><li>Abolition of Primary Care Trusts and Strategic Health Authorities in April 2013 (SHA ’s c...
Population health - Background   <ul><li>Poor population health in Leicester.  </li></ul><ul><li>High levels of need for c...
Financial Context   <ul><li>30% reduction in local authority funding over 3 years </li></ul><ul><li>Period of significant ...
Health Transition - Workstreams <ul><li>LLR PCT Cluster responsible for NHS aspects of transition (e.g. establishment of C...
Health and Wellbeing Boards - Background <ul><li>Included in the NHS White Paper  ‘ Equity and Excellence ’  Liberating th...
Health and Wellbeing Boards – Background (2) <ul><li>Deep and productive partnerships, that develop solutions to commissio...
Shadow Health and Wellbeing Board – Progress <ul><li>Leicester City is an early implementer (member of a learning network,...
Shadow Health and Wellbeing Board – Progress (2) <ul><li>Board has met 3 times including development sessions. Now meeting...
Shadow Health and Wellbeing Board – Initial Membership <ul><li>The City Mayor (Chair) </li></ul><ul><li>The Deputy City Ma...
Shadow Health and Wellbeing Board – Communication and Engagement <ul><li>Shadow H&WB Board will: </li></ul><ul><li>Develop...
 
Partnership Approach PA Consulting (2004) NRU Systems  Thinking Seminar
Public health - Priorities   <ul><li>Public Health Priorities agreed at 1 st  Health and Well being Board </li></ul><ul><l...
Public Health Transition - Background <ul><li>Healthy Lives Healthy People  Consultation closed 31 st  March 2011. </li></...
What ’ s happening now and next? <ul><li>The Leicester H&WB Board will continue to: </li></ul><ul><ul><li>Learn from other...
Questions and Discussion <ul><li>What mechanisms should we use to develop  good communications between the Health and Well...
Contact Details <ul><li>Deb Watson </li></ul><ul><li>Director of Public Health and Health Improvement </li></ul><ul><li>Le...
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DW Health Transition Presentation for VCS Health and Social Care Forum - November 2011

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DW Health Transition Presentation for VCS Health and Social Care Forum - November 2011

  1. 1. VCS Adult Health and Social Care Forum <ul><li>Health Transition - </li></ul><ul><li>An Update from Leicester City </li></ul><ul><li>November 2011 </li></ul><ul><li>Deb Watson </li></ul><ul><li>Director of Public Health </li></ul>
  2. 2. NHS Reforms
  3. 3. NHS White Paper, published 12 July 2010 Signalled major change to the NHS Followed by the Public Health White Paper Healthy Lives, Healthy People in November 2010 Built on NHS White Paper re changes to Public Health responsibilities and new Local Authority roles
  4. 4. NHS Reforms - Background <ul><li>Abolition of Primary Care Trusts and Strategic Health Authorities in April 2013 (SHA ’s clustered in Oct 2011) </li></ul><ul><li>NHS Care services to be commissioned locally by Clinical Commissioning Group overseen by the new NHS Commissioning Board. NHS CB will also commission some specialist services </li></ul><ul><li>Provider NHS organisations to become Foundation Trusts with greater autonomy </li></ul><ul><li>Health responsibilities transferring to Local Authorities = </li></ul><ul><ul><ul><li>lead for public health and </li></ul></ul></ul><ul><ul><ul><li>lead responsibility for health strategy and partnership through new Health and Well Being Board arrangements </li></ul></ul></ul>
  5. 5. Population health - Background <ul><li>Poor population health in Leicester. </li></ul><ul><li>High levels of need for care services and prevention </li></ul><ul><li>Likely to worsen in light of recession </li></ul><ul><li>Significant health inequalities </li></ul><ul><li>Gap is not narrowing. </li></ul><ul><li>Poor health driven by deprivation & exacerbated by lifestyle factors embedded within communities. </li></ul><ul><li>Public Health priorities agreed at 1 st H&WB Board </li></ul><ul><li>Health Inequalities Improvement Plan – important to maintain momentum and delivery across all partners </li></ul><ul><li>Risks re reductions in public funding and transition </li></ul>
  6. 6. Financial Context <ul><li>30% reduction in local authority funding over 3 years </li></ul><ul><li>Period of significant growth in NHS funding has ended </li></ul><ul><li>Demographic change, plus new medicines and technologies = approx 4% cost pressure each year for the NHS - To be found through efficiency savings across the NHS. </li></ul><ul><li>Risks of cost-shifting </li></ul><ul><li>Need to strengthen partnership through transition and beyond </li></ul>
  7. 7. Health Transition - Workstreams <ul><li>LLR PCT Cluster responsible for NHS aspects of transition (e.g. establishment of Clinical Commissioning Groups) </li></ul><ul><li>Shared oversight and responsibility for joint NHS and Local Authority transition workstreams: </li></ul><ul><ul><ul><li>Establishment of Health and Wellbeing Board </li></ul></ul></ul><ul><ul><ul><li>Public Health Transition </li></ul></ul></ul><ul><ul><ul><li>Joint Commissioning </li></ul></ul></ul><ul><ul><ul><li>Transition to Healthwatch </li></ul></ul></ul>
  8. 8. Health and Wellbeing Boards - Background <ul><li>Included in the NHS White Paper ‘ Equity and Excellence ’ Liberating the NHS (July 2010) </li></ul><ul><li>Health and Social Care Bill (January 2011) makes the establishment of a Health and Wellbeing Board mandatory for each upper tier authority </li></ul><ul><li>The purposes of H&WB Boards is to: </li></ul><ul><ul><li>Lead on improving the strategic coordination of commissioning across NHS, social care, and related children ’s and public health services </li></ul></ul><ul><ul><li>Bring together the key NHS, public health and social care leaders in each local authority area to work in partnership </li></ul></ul><ul><ul><li>Provide a key forum for public accountability of NHS, public health, social care for adults and children </li></ul></ul><ul><li>To co-ordinate Joint Strategic Needs Assessment (JSNA) and Joint Health and Wellbeing Strategy (JH&WBS) </li></ul>
  9. 9. Health and Wellbeing Boards – Background (2) <ul><li>Deep and productive partnerships, that develop solutions to commissioning challenges… </li></ul><ul><li>Based on mutuality and co-creation. Collaboration as the norm. </li></ul><ul><li>Elected representatives, with other key local stakeholders, to be engaged in early conversations about how local services can best meet needs rather than reacting as commentators and critics </li></ul><ul><li>Statutory H&WB Board expected to become an Executive Committee of the Council once legislation is passed </li></ul>
  10. 10. Shadow Health and Wellbeing Board – Progress <ul><li>Leicester City is an early implementer (member of a learning network, sharing good practice) </li></ul><ul><li>Promotes integration and partnership working between the NHS, Social Care, Public Health and other local services; </li></ul><ul><li>Shadow Health and Wellbeing Board in place from August 2011 as an advisory body to Leicester City Council Cabinet, the One Leicester Clinical Commissioning Group and the Leicester, Leicestershire and Rutland Primary Care Trust Cluster </li></ul><ul><li>Chaired by the City Mayor </li></ul><ul><li>Aim = To achieve better health, wellbeing and social care outcomes for Leicester City ’ s population and a better quality of care for patients and other people using services. </li></ul>
  11. 11. Shadow Health and Wellbeing Board – Progress (2) <ul><li>Board has met 3 times including development sessions. Now meeting bi-monthly </li></ul><ul><li>Discussions to date on: </li></ul><ul><ul><li>Transition workstream progress (inc Healthwatch progress, principles for joint commissioning) </li></ul></ul><ul><ul><li>Public Health priorities and expectations of health service providers, </li></ul></ul><ul><ul><li>JSNA refresh, </li></ul></ul><ul><ul><li>Interim Health and Wellbeing Strategy </li></ul></ul><ul><li>Shadow board has replaced the former Health and Wellbeing Partnership as part of Leicester Strategic partnership arrangements </li></ul><ul><li>Early discussions about engagement – mechanisms not yet developed </li></ul>
  12. 12. Shadow Health and Wellbeing Board – Initial Membership <ul><li>The City Mayor (Chair) </li></ul><ul><li>The Deputy City Mayor </li></ul><ul><li>Asst Mayor for Health and Community Involvement </li></ul><ul><li>Two representatives of the Leicester City Clinical Commissioning Group (one Co-Chair and the Managing Director) </li></ul><ul><li>CEO of the LLR PCT Cluster </li></ul><ul><li>Strategic Director, Adults and Communities, LCC </li></ul><ul><li>Strategic Director, Children, LCC </li></ul><ul><li>Joint Director of Public Health, LCC and NHS LC </li></ul><ul><li>Local Health Watch and other representatives includes: </li></ul><ul><ul><li>One representative of the local health watch organisation for the area of the local authority, i.e. currently Leicester Local Involvement Network Board member </li></ul></ul><ul><ul><li>Such other person (s) as the local authority and/or health and Well Being board thinks appropriate. (None yet agreed) </li></ul></ul>
  13. 13. Shadow Health and Wellbeing Board – Communication and Engagement <ul><li>Shadow H&WB Board will: </li></ul><ul><li>Develop and implement a Communications and Engagement plan, outlining how the board will be influenced by stakeholders and the public, and how the board will disseminate specific duties required by the board, including consultation on service changes. </li></ul><ul><li>Communicate and engage with local people in how they can achieve the best possible quality of life and be supported to exercise choice and control over their personal health and Well Being. </li></ul>
  14. 15. Partnership Approach PA Consulting (2004) NRU Systems Thinking Seminar
  15. 16. Public health - Priorities <ul><li>Public Health Priorities agreed at 1 st Health and Well being Board </li></ul><ul><li>Our priorities for public health are to accelerate improvements in: </li></ul><ul><ul><ul><li>Lifestyle factors (smoking, physical activity, healthy weight, alcohol) </li></ul></ul></ul><ul><ul><ul><li>Care services (esp access, take–up and quality of preventative services provided by GPs) </li></ul></ul></ul><ul><ul><ul><li>Wider factors that influence health over the long term (educational attainment, skills, employment, housing transport, crime etc). </li></ul></ul></ul><ul><ul><ul><li>Plus vigilance and capacity to protect the health of the population e.g. from communicable diseases and any new or emerging threats </li></ul></ul></ul>
  16. 17. Public Health Transition - Background <ul><li>Healthy Lives Healthy People Consultation closed 31 st March 2011. </li></ul><ul><li>Lots of uncertainties – more detail still to come </li></ul><ul><li>Local government to be responsible for Public Health locally from April 2013 </li></ul><ul><li>Backed by ring-fenced budgets, plus an incentivised ‘health premium’ </li></ul><ul><li>Directors of Public Health in local authorities will be strategic leaders of these efforts </li></ul><ul><li>A new dedicated, professional public health service – Public Health England – to be set up as an executive agency of the Dept of Health, ensuring independent expert scientific advice </li></ul><ul><li>Best evidence and evaluation will be used, supporting innovative approaches to behaviour change. New research nationally </li></ul><ul><li>Guidance awaited on transfer of responsibilities, staff transfer, funding, performance framework etc </li></ul>
  17. 18. What ’ s happening now and next? <ul><li>The Leicester H&WB Board will continue to: </li></ul><ul><ul><li>Learn from other early implementers </li></ul></ul><ul><ul><li>Develop stakeholder engagement mechanisms </li></ul></ul><ul><ul><li>Develop sub-structures for the H&WB Board </li></ul></ul><ul><ul><li>Complete JSNA refresh </li></ul></ul><ul><ul><li>Develop Joint Health and Wellbeing Strategy </li></ul></ul><ul><ul><li>Focus on major priorities for health and wellbeing </li></ul></ul><ul><ul><li>Identify and develop opportunities for joint work to improve effectiveness and efficiency </li></ul></ul><ul><li>Public Health transition plans to be developed January – March 2012 based on further guidance </li></ul>
  18. 19. Questions and Discussion <ul><li>What mechanisms should we use to develop good communications between the Health and Wellbeing Board and the Voluntary and Community Sector?  </li></ul><ul><li>How can the Voluntary and Community Sector help to build community capacity to improve Health and Wellbeing?  </li></ul><ul><li>What more can be done to involve stakeholders in refreshing the Joint Strategic Needs Assessment.  </li></ul><ul><li>How should stakeholders be involved in developing the Health and Wellbeing Strategy? </li></ul>
  19. 20. Contact Details <ul><li>Deb Watson </li></ul><ul><li>Director of Public Health and Health Improvement </li></ul><ul><li>Leicester City Council and NHS Leicester City </li></ul><ul><li>And </li></ul><ul><li>Interim Director of Adult Social care </li></ul><ul><li>Leicester City Council </li></ul><ul><li>[email_address] </li></ul><ul><li>0116 252 6095 </li></ul>

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