Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.

1. Integrating Health and Social
Care in Sheffield
An update on Sheffield Health and
Wellbeing Board’s Plans for the Better Care
Fund
Luke Morton/Louisa Willoughby
Service Improvement Forum
3 June 2014

2. Sheffield’s Health and Wellbeing Board
 Statutory Council committee that meets formally in public every
three months but carries out a range of engagement work
throughout the year.
 Organisations represented on the Board: Sheffield City Council,
NHS Sheffield Clinical Commissioning Group, NHS England,
Healthwatch Sheffield.
 Co-chaired by Councillor Julie Dore and Dr Tim Moorhead, Chair
of Sheffield CCG.

3. The role of a Health and Wellbeing Board
 Provide leadership, direction and oversight of the health and
wellbeing of Sheffield’s population and the services that are
delivered. This includes working on integrating health and social
care and reducing health inequalities.
 Commission and approve the Joint Strategic Needs Assessment,
and agree a Joint Health and Wellbeing Strategy. This involves
planning together and discussing each organisation’s
commissioning proposals so that they are in line with the
Strategy.
 Work with Healthwatch Sheffield to understand the needs and
experiences of Sheffield people.

4. Why do we want to integrate health
and social care?
People get the right care, at
the right time and in the
right place.
Organisations in Sheffield
work together to help
people, families and
communities to build and
strengthen the support they
provide to each other.
Expert help is available to
help people take control of
their own care so that it is
genuinely person-centred,
and complements and builds
on the assets they have.
People, families and
communities in Sheffield
support each other to
improve and maintain their
wellbeing and independence.
Health and care services are
focussed on a person’s needs
- organisational boundaries
do not get in the way.

5.  Launched a range of projects that work
in and with local communities and
professionals, such as in the Lowedges,
Batemoor and Jordanthorpe area of the
city, and the Right First Time and Future
Shape Children’s Health programmes.
 Engaged with Sheffield people. This
tells us how important integration is to
Sheffield people, who don’t want to be
passed from ‘pillar to post’.
 Established a Joint Commissioning
Executive to oversee the integration
work for the Health and Wellbeing
Board and to feed into our work with
Think Local Act Personal and the Public
Services Transformation Network.
Integration and Whole-Person Care in
Sheffield: what we’ve done up to now

6.  Reallocated (not new) mostly NHS money that local authorities
and Clinical Commissioning Groups through the Health and
Wellbeing Board need to spend together on collective priorities
that support integration.
 Amounts to £3.8bn in 2015/16 nationally – £42m for Sheffield.
 Sheffield’s final plan was submitted April 2014, agreed by the
Health and Wellbeing Board – full amount £280m – we are
therefore being more ambitious than the initial scope of the
Better Care Fund.
 The Joint Commissioning Executive will oversee the development
of and governance surrounding these plans on behalf of the
Health and Wellbeing Board.
 Links closely with other areas of work, e.g. Care Bill and Children
and Families Bill implementation.
What is the Better Care Fund?

7. 1. Community and primary prevention
– Working with professionals (including GPs) and communities in local areas.
– Stopping people at low risk of declining health and wellbeing becoming
high risk by investing in tackling the causes not the symptoms.
2. Intermediate care and reablement
– Helping people to be independent following a stay in hospital.
3. Community equipment
4. Long-term high support
– Devising innovative options for people needing high support.
• Infrastructure (e.g. ICT)
• Governance of the new system
What areas are we currently looking at
commissioning together?

8. The Better Care Fund in the news

9.  Continuing because it’s the right thing – despite the news stories.
 Working on the main areas of commissioning, governance,
infrastructure. This will involve some recommissioning activity
over the next year, although the timescales for all the four
commissioning programmes are still to be agreed.
 Engagement with members of the public, service users,
providers. E.g.:
 Survey to sign up interest – over 230 people registered their interest. We
will involve those interested at appropriate points going forward – and
come to groups like SIF if invited.
 1st May event for the voluntary sector.
 Communication through Health and Wellbeing Board meetings (27th June)
and through e-newsletter (due to go out this week), as well as through
other portals, such as Healthwatch Sheffield.
So what’s next?

10.  Public document outlining plans available at:
https://www.sheffield.gov.uk/caresupport/health/health-
wellbeing-board/integration.html.
 Our monthly e-bulletin contains all the latest updates on the
Health and Wellbeing Board, including developments with
integration in the city. Sign up on our website:
www.sheffield.gov.uk/healthwellbeingboard.
Find out more