Transcript No Slide Title

SEND Pathfinder Market Place
7th November 2011
David Behan – Director General
Social Care, Local Government and Care Partnerships
Department of Health
Today’s Presentation
• NHS Reforms and Changes – Strategic Overview
• What this means for Children with Special Educational
Needs and Disabilities.
• Any Questions
White Paper: Liberating the NHS
•
Equity and Excellence: Liberating the NHS describes a system with:
– Patients at the heart of everything
– Outcomes among the best in the world
– Clinicians empowered to deliver results
•
To achieve this, the Government proposes:
– Clinical commissioning groups;
– An autonomous NHS Commissioning Board;
– A new role for local authorities; and
– All NHS Trusts will become foundation trusts (FT), or be part of an FT
Health and Social Care Bill
• NHS Future Forum has reported
• Core recommendations have been accepted
• NHS Future Forum will continue to advise on the way that
our proposals are developed and put into practice
• Currently in the House of Lords
• Royal Assent expected Spring 2012
The Listening Exercise,
NHS Future Forum:
Next Steps
The Government has asked the NHS Future Forum to continue
its conversations with patients, service users and professionals to
provide independent advice on four important themes:
• how to make information improve health, care and wellbeing
• how to develop the healthcare workforce to deliver worldclass healthcare
• how to ensure the modernisation programme leads to better
integration of services around people’s needs
• how to ensure the public’s health remains at the heart of the
NHS.
Focus on Integrated working:
• Health and wellbeing boards to drive the
commissioning process at the local level
• Directors of Children’s Services core members
• Joint Strategic Needs Assessments & Joint Health
and Well-being Strategies
• New legal duties to encourage and consider joint
commissioning and joint working arrangements
• Aligned outcomes frameworks for NHS, public health
and adult social care
• Establishing HealthWatch to champion the voice of
people – including children and young people - those
using services and their carers
HealthWatch
• Strengthened voice of patients and the public – building
on Local Involvement Networks (LINks)
• Involvement in Health and Wellbeing Boards (influence
commissioning).
• HealthWatch England will be a new independent
consumer champion for the national collective voice
Health and Wellbeing
Boards
• Core members including elected members and Directors
of Children’s Services (including clinical commissioning
groups).
• Key responsibilities including JSNA’s and Joint Health
and Wellbeing Strategies.
• ‘Testing’ of local commissioning plans
The new system
Department
of Health
Public
Health
England
NHS
NHS
Commissioning
Board
(Local health
improvement
in LAs)
GP commissioning
consortia
Adult
S/Care
Monitor
(economic
regulator)
Providers
Local authorities (via health &
wellbeing boards)
CQC
(quality)
HealthWatch
(in local
authorities)
Local
HealthWatch
Timetable for implementation
• October 2012 HealthWatch England and Local Health Watch start
date.
• July 2012; clinical commissioning groups preparing for authorisation
(JSNA and joint health and wellbeing strategies part of the evidence
for authorisation)
• By April 2012; health and wellbeing boards established to operate in
non statutory form – will need to have JSNA and joint health and
wellbeing strategy in place by summer/autumn to inform
commissioning plans and authorisation process
• April 2013; Health and wellbeing boards, NHS Commissioning
Board take on full statutory functions and Public Health England
established, Public health transferred to local authorities
Clinical Commissioning Groups (CCGs) established.
What does this mean for
Children with SEND?
•
More Choice and Control
•
Opportunities for integrated working
•
Opportunities for a stronger local voice
•
Focus on improved outcomes (e.g living longer,
improved experience of care,
What will make this
happen?
• Effective joint working and vision at a Government level,
particularly between DH and DfE
• Outcomes Frameworks
• NHS Mandate
• Health and Wellbeing Boards – ( includes Dir of Children’s
services.
• Health Watch – The ‘consumer voice’
• Quality standards ( NICE/CQC)
• Choice and personalisation agenda ( eg. AQP/ Personal
budgets and personal health budgets to allow people to have
more flexibility and control over the health services and care
they receive
• Any questions?