Transcript Powerpoint slides for presentations

Health changes – update on activity post
‘Pause’ and key dates
July 2011
Contents
• National overview
• Local update:
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PCTs, Sussex Cluster
GP Commissioning Consortia
Public Health
Health and Wellbeing Board
HOSC
LINks/HealthWatch
• Timeline
• Where can residents find information
• What help / support do you need
National overview
• The health and social care agenda has continued to be
very busy and is set to continue that way for the lifetime
of this Government
• Following the various health and social care White
Papers and Bills the Government instigated a Pause,
Listen, Reflect, Improve period of time. The aim of this
was to allow for further consultation on the NHS
changes given the level of concern regarding the new
agenda
• The Pause report from Future Forum on 31st and
Ministers response came out last week
• Changes will be made to the Bill and timeline
• Direction of travel the same
PCTs
• Nationally there has been some debate about if the
Cluster groups of PCTs should demise or have a change
in role and function – this will be clarified as the Bill
progresses
• To reduce expenditure and to try and ensure business
continuity PCTs have merged into Cluster groups
• Our 2 PCTs (East Sussex Downs and Weald, Hastings
and Rother) are now in a Sussex wide Cluster covering:
– West Sussex
– Brighton and Hove
– East Sussex
• Amanda Fadero is the new Sussex PCT Cluster CEO
which is called NHS Sussex
• Cluster arrangements not fully agreed eg Board
reporting
• Local capacity has been reduced
GP Commissioning Consortia – NOW Clinical
Commissioning Group
• Nationally the debate has centred around pace of
change and the role of the GP Commissioning Consortia
• These will change to Clinical Commissioning Groups
• Key change to Group make up to include a registered
nurse and a secondary care specialist doctor - neither
must be employed by a local provider
• Two consortia being established (Hastings and Rother,
Eastbourne) and will have to morph into ‘groups’
• A third group of GPs are debating about what they will
do. This area covers Lewes, Wealden and the Havens
• Pathfinder status has now been given by the Dept of
Health to the established GP Commissioning Consortia
who have now had elections and have ‘lead’ GPs
Public Health
• Nationally the debate has focused on the role of
Public Health England and the employment of
Public Health staff
• East Sussex awarded Early Implementer status
by the Dept of Health in recognition of the joint
work to date. This involves working with other
early implementers and sharing best practice
• The PCTs Public Health commissioning team
have co located to County Hall
• This is a ‘shadow’ arrangement until the full
responsibilities and budget come to the Council
in April 2013
Public Health service review
• Following the stakeholder conference it
was clear that a service review of Public
health was needed to help plan for the
future
• Solutions for Public Health (an NHS
trading arm) were appointed to undertake
the review
• A report should be available in September
Health and Wellbeing Board
• The Board is a statutory requirement of the new
legislation
• Is a formal but unusual Council committee (officers
voting) with statutory powers
• Our aim is to have a Board that is the Guardian of the
whole health and care system for East Sussex –setting
the direction for change clearly linked to improvement in
patient and service user outcomes and promoting joint
working across commissioners
• Promote wider view of health determinates eg housing
• The Board is required to develop:
– Joint Strategic Needs Assessment
– Joint Health and Wellbeing Strategy
• HOSC will remain
Health and Wellbeing Board
Proposed Membership
Voting (as required by legislation):
• 4 Elected members of the County Council, as nominated by the
Leader
• Director of Adult Social Care
• Director of Children and Young People
• Director of Public Health
• GPCC representation
• District and Borough representation – the proposal is 2 as this
mirrors the East Sussex Strategic Partnership thematic groups such
as Children’s Trust, Community Safety
• Local HealthWatch – if they remain part of the decision making
process rather than scrutiny
Others non voting
• Chief Executive of ESCC
• Voluntary and Community Sectors as identified by SpeakUp
• Others such as the PCTs
Health and Wellbeing Board
Suggested model – currently out for consultation
• Assembly approach which has been successful
in East Sussex, for example Community Safety
• Assembly feed into Board
• Board sets the County overview of the Joint
Health and Wellbeing strategy and its delivery
• Consultation is now live until 7th September and
the Shadow Board will receive a report of the
outcome
FAQs about the Board
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Why voting? While our experience of most committees in the Council is
that consensus can be achieved it is not always possible. We also have to
be realistic about the significant changes in the health and social care
economy that face us and having the ability to vote if consensus cannot be
agreed is the norm. We have given voting rights to those people who are
required by legislation to be on the Board and/or are democratically
accountable. Those people who do not fulfil these criteria but have an
important role to play on the Board have not been given voting rights.
Why 4 members of the County Council? The most recent update from
the Minister has acknowledge that there is a need to allow Councils to
appoint who and how many they wish
Why Districts and Boroughs? The legislation does not formally include
them as having a right but suggests including. We feel that many of the
determinates of health and wellbeing are supported and often led by the
Districts and Boroughs – such as housing, environmental health, leisure and
therefore we have sort to replicate the way the Strategic Partnerships
forums operate eg having 2 out of 5 on the Board
We also need to acknowledge that many services and support systems are
provided by the Voluntary and Community Sector and therefore there is a
representative place on the Board.
Can anyone come to the Board meetings? Yes The Board will be open to
the public.
HOSC
• Scrutiny function now separated from the
Health and Wellbeing Board
• We have HOSC
HealthWatch
• HealthWatch England to be established
October 2012
• Local HealthWatch to be establisged
October 2012
• Local Authorities commissioning NHS
complaints advocacy service
• Looking at what can be done local, what
may be better sub regionally
• LINks will cease to exist in 2012
Timeline of key dates
• An amended timeline has been issued by
Government
• Clear there will be delays
• The Government hopes that the new
timetable ill strike a balance between
‘maintaining momentum’ while recognising
some organisations would not be ready to
take on full responsibilities under the old
time frames
Where can people find
information
• Changes to timeline along with other
information will go on the East Sussex
Strategic Partnership website – Health and
Wellbeing section
• Web page planned for the County website
AOB
• Changes to timeline along with other
information will go on the East Sussex
Strategic Partnership website – Health and
Wellbeing section
• Please let us know if there is anything the
Council can help with. Initial contact is:
[email protected]
• direct line 01273 - 335012