Transcript Health and Wellbeing Strategy
Health Reforms in Lancashire and improved health and wellbeing outcomes for Children and Young People and their families
Children’s Trust CSS Commissioning support service NCB National Commissioning Board Clinical Senates Children’s H & W Board PULSE Health & Wellbeing Board Health Watch Public Health Lancashire Third Sector Support organisations and networks e.g. Advanced Quality Alliance AQuA Public Health England Monitor District arrangements including development of LSP H&W groups & New H&W Partnerships Care Quality Commission Other providers Including: •Lancashire Care Trust •Lancashire Teaching Hospitals Trusts Overview and Scrutiny
Greater Preston
(including Longridge )
Chorley and South Ribble West Lancashire East Lancashire Morecambe, Lancaster, Carnforth, Garstang
Fylde & Wyre not including Garstang
Blackburn with Darwen
CCG NETWORK Blackpool
The Public Health system in Lancashire
Public Health teams in: • Lancashire County Council • Public Health England (Cumbria & Lancashire) • NHS Commissioning Board Local Area Team (pan Lancashire)
Five main contributions
1.
Directly commission public health services 2. Provide public health leadership and support to NHS Commissioners, LCC, Districts, the Third Sector and other partners 3. Be the interface between the Health and Wellbeing Board, the District level partnerships and the rest of the health system 4. Develop new relationships with CCGs, NCB, PHE, CSU and LCC Directorates to improve health and well being outcomes 5. Contribute to develop national policies
New Approaches
• Use of assets • Integrated commissioning • Generic skills with matrix working on public health priorities • Greater focus on wider determinants, delivering improved outcomes and reducing inequalities • Aligned with the shifts envisaged in the Health and Wellbeing strategy
Matrix Working across themes
• Health Checks • Healthy Lifestyles inc. physical activity • Drug and alcohol misuse • Tobacco control and stop smoking services • Healthy Settings • School nursing • Mental health • NCMP and childhood obesity • Infant mortality • Accidental injuries • Seasonal mortality reduction • Children and young people’s healthcare, older people’s healthcare • Healthy Child Programme • Infant feeding • Sexual health • Long term conditions, cancers, circulatory disease • Dental public health
Healthy Settings
Public Health Lancashire co-produced workstream to: • develop proposals for the management of health improvement in 0-19 settings • Schools; Children's Centres; Children Homes; Colleges; Youth Offending Institution and Youth Centres • Currently mapping the ‘Understand’ phase of the Commissioning Cycle
What, How and Who ?
NL CL
Overview of Transition Process
LDAAT PH in NHS PH in LCC PHN EL 2012 April 2013
Organisational Structure (All in Place - December 2012) Chief Executives (NHS Lancashire & Lancashire County Councils
)
Executive Director of Public Health To be appointed Director of Population Healthcare Dr Sakthi Karunanithi Director of Health Improvement Mike Leaf Director of Health Protection and Policy Deborah Harkins
Children’s H & W Board PULSE Health Watch Health & Wellbeing Board Public Health Lancashire
Greater Preston Chorley and South Ribble West Lancashire East Lancashire
CCG NETWORK
Lancaster North Fylde & Wyre
Health and Wellbeing Strategy
• Overall goal – narrow the gap in healthy life expectancy • Priority shifts – Shift resources towards prevention – Build and utilise community assets, skills and resources – Promote self-care and responsibility for health – Commission and deliver accessible services within communities; improving the experience of moving between primary, hospital and social care.
– Make joint working the default option – Narrow the gap in health and wellbeing and its determinants
Health and Wellbeing Strategy
• Outcomes: – Improve the health and wellbeing of new and expectant families – Improve mental health and wellbeing – Reduce long term conditions and improve quality of life of those affected – Improve health and independence of older people • Interventions: Smoking in pregnancy Affordable warmth Support for carers Risk stratification and response Self care Loneliness in older people Domestic abuse Alcohol liaison Healthy weight environmental measures Vulnerable families from 1 st pregnancy