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Changing Health Environment parallel session
The document discusses how the 'Fit as a Fiddle' initiative addresses changes in the health environment by outlining new structures, processes, and outcomes within the NHS and public health sectors. It emphasizes the role of health and wellbeing boards in commissioning services, assessing health needs, and reducing health inequalities. Additionally, the initiative highlights specific health indicators relevant to adults and older populations, with an aim to improve overall health and wellbeing outcomes.
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Changing Health Environment parallel session
- 1. How does fitas a fiddle address the changing health environment? Philip Hurst Carole Gourdie Joanne Volpe
- 2. The Session 1.New structures 3. New processes How does fit as a fiddle address the 5. New outcomes changing health environment? 7. fit as a fiddle in Yorkshire and Humber, and the North East 9. How can you engage? Fit as a Fiddle
- 3. New NHS, PublicHealth and Social Care Structures Secretary of State/DH Secretary of State/DCLG NHS Commissioning Public Health Board England 4 Public 4 regional commissioning sectors Clinical senates (15) Health North/South/London/Midlands and East Hubs Local PH Teams Local NCB Teams Public Directors of Commissioning Support Orgs Health Adult Social Directors Care Health and Wellbeing Boards Clinical Commissioning Groups (152) Local Authorities (152) GPs Health and Public Health Providers Healthwatch (152) Public Health and Social Care Providers Patients/Service Users/People Fit as a Fiddle
- 4. Public Health: processes Healthand Wellbeing Boards will: • Produce Joint Strategic Needs Assessments • Produce Joint Health and Wellbeing Strategies • Oversee joint commissioning Local Authority public health teams will: • Commission services • Advise the NHS about: • Prevalence of conditions in the population • Strategies to promote better care • Provide public health advice to NHS commissioners/CCGs: • Identify vulnerable populations, marginalised groups and local health inequalities • Give advice on commissioning to meet their health needs Fit as a Fiddle
- 5. Public Health OutcomesFramework for England 2013-16 1. Improving the wider determinants of health (reducing health inequalities) 2. Health improvement (promoting healthy lifestyles) 3. Health protection (protection against epidemics) 4. Healthcare public health and preventing premature mortality (preventing disease) Fit as a Fiddle
- 6. Some indicators foradults generally which are relevant to later life • Employment for those with a long-term health condition • Fuel poverty • Proportion of physically active and inactive adults • Cancer screening coverage • Mortality from preventable cause • Preventable sight loss • Access to health checks • Self-reported wellbeing (happiness) Fit as a Fiddle
- 7. Indicators for laterlife • Falls and injuries in over-65s • Hip fractures in over-65s • Excess winter deaths Fit as a Fiddle
- 8. Placeholder indicators Not yetdeveloped so there is potential to influence them. Includes: •Emergency hospital readmissions within 30 days •Health-related quality of life for older people •Dementia and its impacts •Social connectedness •Older people’s perception of community safety Fit as a Fiddle
- 9. How to useoutcome indicators • Health and Wellbeing Boards are expected to demonstrate improvement against them • Refer to them when promoting a fit as a fiddle service • Use for comparison with neighbouring authorities and with national average N.B. Some indicators (still to be decided) will have special funding (Health Premium) attached Fit as a Fiddle