Health and wellbeing.a county update


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Health and wellbeing.a county update

  1. 1. VCS ADULT HEALTH AND SOCIAL CARE FORUM 27 JULY 2011 Health and Wellbeing: A County update Mick Connell, Director of Adults and Communities, Leicestershire County Council
  2. 2. Why are we establishing a Health and Wellbeing Board? <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>Leicestershire is an early implementer </li></ul>
  3. 3. What does being an early implementer mean? <ul><li>Working with DH and other early implementers, sharing good practice and ideas </li></ul><ul><li>Shadow Board in place by April 2011 </li></ul><ul><li>A priority so we can: </li></ul><ul><ul><li>Keep focused on improving health and well being outcomes during transition; and </li></ul></ul><ul><ul><li>Maintain momentum on important developments already in progress </li></ul></ul>
  4. 4. What will the Health and Wellbeing Board do? <ul><li>Primary purpose is to: </li></ul><ul><li>Promote integration and partnership working between the NHS, Social Care, Public Health and other local services; and </li></ul><ul><li>Improve local democratic accountability. </li></ul>
  5. 5. How will the Board achieve its purpose? <ul><li>Identify needs and priorities across Leicestershire’s population, and ensure commissioning and delivery plans reflect the findings of our Joint Strategic Needs Assessment </li></ul><ul><li>Prepare and publish a Joint Health and Wellbeing Strategy </li></ul><ul><li>Communicate and engage with local people about how they can achieve the best possible quality of life </li></ul><ul><li>Have oversight of public sector resources, where appropriate. </li></ul>
  6. 6. What is the difference between the Shadow and Statutory Boards? <ul><li>Shadow Board is an advisory body to the County Council’s Cabinet, NHS LCR Trust Board and GP Commissioning Consortia </li></ul><ul><li>Statutory Board will be in place once legislation is passed, expected to be April 2013, and will be a Committee of the County Council with executive powers </li></ul>
  7. 7. Who is on the Shadow Board? <ul><li>The Cabinet Lead Member for Health </li></ul><ul><li>The Cabinet Lead Member for Adults and Communities </li></ul><ul><li>The Cabinet Lead Member for the Children and Young People’s Service </li></ul><ul><li>Two representatives of each of the Clinical Commissioning Groups (GP Consortia) within the local authority area </li></ul><ul><li>The Director of Public Health </li></ul><ul><li>The Director of Adults and Communities </li></ul><ul><li>The Director of the Children and Young People’s Service </li></ul>
  8. 8. Who is on the Shadow Board? (cont) <ul><li>LINk representation - two places (to replace with Local Health Watch representation, when established) </li></ul><ul><li>The Chief Executive of NHS LCR (the local Primary Care Trust)* </li></ul><ul><li>Local Medical Committee representation – one place </li></ul><ul><li>District Council representation – two places. </li></ul><ul><li>*This place will allocated to a representative of the NHS Commissioning Board when this is established and their role is more defined. </li></ul><ul><li>Membership may also adapt later, pending any new legislative requirements </li></ul>
  9. 9. How are stakeholders being engaged at this early stage? <ul><li>A comprehensive stakeholder engagement plan has been in place since February and is ongoing. </li></ul><ul><li>This has included a series of briefings and updates to officers, staff, council members, professional groups, partnership groups, user/patient groups, NHS Trusts, LINks, Voluntary Sector, other agencies. </li></ul><ul><li>Materials also made available electronically including presentations, briefing notes, frequently asked questions, press items etc. </li></ul><ul><li>See our home page </li></ul><ul><li>Engagement lead is Sue Cavill [email_address] </li></ul>
  10. 10. What are the implications of the new board for existing groups? <ul><li>The health and wellbeing board will be one of the new commissioning hubs in the Leicestershire Together partnership during its Shadow period </li></ul>
  11. 11. Theme Commissioning Boards Planning, Monitoring & Commissioning Groups Localities Commissioning Board - Executive Environment Community Safety Health & Wellbeing Children & Young People Local Enterprise Partnerships <ul><li>Substance Misuse </li></ul><ul><li>Prevention & Early Intervention </li></ul><ul><li>JSNA Steering Group </li></ul><ul><li>Community Based Care for frailty </li></ul><ul><li>Mental Health & Learning Disability </li></ul><ul><li>Staying Healthy Partnership </li></ul><ul><li>Joint Children & Child & Adolescent Mental Health Services </li></ul><ul><li>Waste & Cleaner Greener </li></ul><ul><li>Climate Change </li></ul><ul><li>Natural & Historic Environment </li></ul><ul><li>Flood Risk </li></ul><ul><li>Transport </li></ul><ul><li>Rural </li></ul><ul><li>Housing, Planning & Infrastructure </li></ul><ul><li>Housing Services </li></ul><ul><li>Stronger Communities / Big Society </li></ul><ul><li>Sport & Physical Activity </li></ul><ul><li>Voluntary Community Sector </li></ul>Locality Commissioning Executives Sub-structure to be determined locally
  12. 12. How will stakeholders engage with the Board? <ul><li>Number of groups will work with the Board to shape and inform commissioning decisions, and support and deliver more integrated services. </li></ul><ul><li>For example a Staying Healthy sub group (focused on key areas of health improvement such as smoking, obesity etc), and several others eg Learning Disabilities Partnership Board or Substance Misuse Board. </li></ul><ul><li>The sub groups involve a wide range of users, providers, commissioners, professional advisors, communities and other stakeholders - to ensure that the Board’s recommendations are well-informed and that services are successfully designed and delivered. </li></ul>
  13. 14. What’s happening now and next? <ul><li>The Leics H&WB Board </li></ul><ul><ul><li>Had a development session on 19 April </li></ul></ul><ul><ul><li>Met twice (26 April and 23 June 2011) where 8 initial priorities for the Board are being proposed </li></ul></ul><ul><li>We are continuing to: </li></ul><ul><ul><li>Shape the Board’s sub structures with stakeholders </li></ul></ul><ul><ul><li>Deliver our stakeholder engagement plan </li></ul></ul><ul><ul><li>Learn from other early implementers and there is a lot of interest nationally in our local work. </li></ul></ul>
  14. 15. How will the Board enhance local progress to date? <ul><li>Focus on top priorities for health and wellbeing at system wide level. </li></ul><ul><li>Improve governance, democratic accountability and how resources are allocated </li></ul><ul><li>Reduce duplication and waste </li></ul><ul><li>Take a systematic approach to joint commissioning with strong clinical leadership </li></ul><ul><li>Use our good foundation of partnership working to improve integration of services </li></ul><ul><li>Learn collectively in this developmental, shadow year. </li></ul>
  15. 16. System Level Themes <ul><ul><li>4 key themes have emerged as the focus for our system level work: </li></ul></ul><ul><ul><ul><li>Improving health outcomes </li></ul></ul></ul><ul><ul><ul><li>Improving service integration </li></ul></ul></ul><ul><ul><ul><li>Improving efficiency and balancing the economy </li></ul></ul></ul><ul><ul><ul><li>Organisational transition </li></ul></ul></ul><ul><li>The Shadow Board has developed 8 strategic priorities under themes 1-3, based on existing JSNA evidence and strategic priorities of partners </li></ul><ul><li>Organisational Transition - Transition Steering Group </li></ul>
  16. 17. Shadow H&WB Board: 8 Priorities <ul><li>These 8 will form the initial focus and work plan of </li></ul><ul><li>the Board: </li></ul><ul><li>Increasing life expectancy and reducing inequalities </li></ul><ul><li>Reducing the prevalence of smoking </li></ul><ul><li>Reducing the harm caused by alcohol and drugs </li></ul><ul><li>Reducing the prevalence of obesity and physical inactivity </li></ul>
  17. 18. Shadow H&WB Board: 8 Priorities (cont) <ul><li>Improving the care of older people with complex needs and enabling more older people to live independently </li></ul><ul><li>Improving the care of adults and children with complex needs and their carers, including those with: </li></ul><ul><ul><ul><li>Mental health needs </li></ul></ul></ul><ul><ul><ul><li>Complex disability needs </li></ul></ul></ul><ul><li>7. Shifting investment to prevention and early intervention </li></ul><ul><li>8. Making urgent care systems for adults and children work </li></ul>
  18. 19. Joint Commissioning <ul><li>Four priorities agreed for 2011/12 </li></ul><ul><ul><li>Dementia </li></ul></ul><ul><ul><li>Reablement </li></ul></ul><ul><ul><li>Quality Standards in Care/Nursing Homes </li></ul></ul><ul><ul><li>Care packages for children with complex needs who are transitioning to adult services </li></ul></ul>
  19. 20. Substructures and communications <ul><li>Outline substructure developed with input from: </li></ul><ul><ul><li>Children Board event – April </li></ul></ul><ul><ul><li>H&WB Board event - May </li></ul></ul><ul><ul><li>LSP event - June </li></ul></ul><ul><ul><li>JSNA event – July </li></ul></ul><ul><li>Key message – willingness and opportunities to do things differently in new system and use different channels and mechanisms than before </li></ul><ul><li>H&WB Board communications and engagement plan now in development </li></ul>
  20. 21. Discussion <ul><li>How can good two way communications be achieved with the Health and Wellbeing Board?  Please suggest some processes. </li></ul><ul><li>What are your views about the proposed sub-structures and how could these be improved? </li></ul><ul><li>What more can be done to involve stakeholders in refreshing the Joint Strategic Needs Assessment.  How can they be involved in developing the Health and Wellbeing Strategy? </li></ul><ul><li>How can we build genuine engagement and participation in Health and Wellbeing with residents and communities?  </li></ul>
  21. 22. For further information: Visit our home page <ul><li> </li></ul><ul><li>TORs </li></ul><ul><li>Presentations </li></ul><ul><li>Stakeholder briefings </li></ul><ul><li>Press info </li></ul><ul><li>FAQs </li></ul><ul><li>H&WB Board meeting dates, agenda, papers. </li></ul><ul><li>Copy of the H&WB Board's response to the pause </li></ul><ul><li>Copy of our HealthWatch pathfinder application. </li></ul>
  22. 23. Contact Details <ul><li>Mick Connell </li></ul><ul><li>Director of Adults and Communities </li></ul><ul><li>Leicestershire County Council </li></ul><ul><li>[email_address] </li></ul><ul><li>0116 305 7451 </li></ul><ul><li>Cheryl Davenport </li></ul><ul><li>Programme Director </li></ul><ul><li>NHS Leicestershire County & Rutland/ </li></ul><ul><li>Leicestershire County Council </li></ul><ul><li>[email_address] </li></ul><ul><li>0116 295 7546 </li></ul>