David Behan, CBE, Director General of Social Care, Local Government and Care Partnerships, Department of Health, discusses the opportunity for integration between local authorities and the NHS.

1. Health and wellbeing boards – the transition
to a new health and care system
David Behan – Director General, Social Care, Local Government and
Partnerships, Department of Health
Kings Fund 14 July 2011

2. Health and wellbeing boards – The vision
System leadership at interface of Local Government
• Collective leadership leading to integrated services that better meet individual
and community needs.
• Connect NHS and local government activity, with all public sector spending to
improve health and wellbeing of local communities.
& NHS
• Genuine practical collaboration between councils, the NHS and communities,
users and the public.
• Greater democratic legitimacy and accountability to local people.
• Potential to transform services and outcomes.
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3. Health and wellbeing boards – how the
legislation supports the vision
System leadership at interface of Local Government
• Sets up the boards as committees of local authorities.
• Establishes a core membership, with flexibility to expand locally.
• Puts mutual obligations on councils and NHS commissioners to undertake
joint strategic needs assessment (JSNA) and joint health and wellbeing
strategies (JHWS) undertaken in partnership.
• Sets expectation that HWBs are involved throughout the NHS commissioning
& NHS
process, so commissioning plans are in line with the JHWS.
• Promotes joint commissioning and integrated provision.
• Gives HWBs a role in annual assessment of clinical commissioning groups
(also a non-statutory role in their initial authorisation).
• Sets a duty for HWB to involve users and the public in JSNA and JHWS.
• Keeps scrutiny functions separate from HWBs.
• Leading to collective local leadership and partnership to ensure
integrated care for individuals.
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4. System leadership at interface of Local Government
Within the context of HWBs the aim for JSNA/JHWS is to be:
What services do we need to commission (or de-
commission), both separately and jointly? –
commissioning plans
EXPLICIT
LINK So what are our priorities for collective action,
and how will we achieve them together? – JHWS
& NHS
So what does that mean they need, now and in the future and
what assets do we have? – a narrative on the data – JSNA
What does our population & place look like? – data
HEALTH & WELLBEING BOARD
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5. Programme timescales
System leadership at interface of Local Government
Oct - Dec Jan – Mar Apr – Jun Jul – Sep Oct – Dec 2012 Jan – Apr
2011 2012 2012 2012 2013
Shadow running of HWBs HWBs operating on a non-statutory basis,
HWBs begin to refresh JSNAs producing JHWS and inputting into commissioning plans
By April HWBs fully
operational in every
upper-tier local
authority, with JHWS
& NHS
HWB early implementers, HealthWatch pathfinders, alongside emerging clinical commissioning groups,
share learning about what works to support implementation
▲Announce ▲Agree transition plans for ▲Shadow LA budgets in ▲PH Workforce strategy ▲LA allocations ▲April. LA allocations in
LA shadow PH budget trasition from PCTs to LAS operation published announced operation and PH resource
allocations transfers
▲PHE chief executive
▲Publish HR concordat and top team in place October 2012;
with LAs Start date for Local ▲April. PHE established
HealthWatch
▲Publish outcomes organsiations and
framework and health HealthWatch England
premium formula
▲Publish PHE operating
method
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