Transcript Slide 1

Healthy Lives, Healthy people
Dr Jane Halpin : Chief Executive
NHS Hertfordshire
28th February 2011
High level aims
Build on the known link between socioeconomic deprivation and ill health
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Maternal and child health
Adults of working age
Those with LTCs
Frail elderly
Architecture
• Health & Wellbeing Board
• High level strategy, reflecting JSNA
• DsPH – in local government, principal
adviser on health across LG functions
• DsPH also part of PH England (health
protection) and accountable to PHE and to
Secretary of State for Health
• PH funding (but scope unclear)
• Annual report
Other elements
PH Outcomes framework
Health & Social care
outcomes frameworks
Joint work across housing, environment,
transport, planning, children’s services,
social care, environment & leisure
Hertfordshire: context
• Existing relationships strong – and strengthened by the
changes
• Joint Executive Group in place – avoid inertia
• Budgetary pressures for both LG and NHS – opportunity
to do things differently – be bold
• History of Joint Commissioning (Mental Health, Learning
Disability, Substance Misuse) with some joint provision
• Already working jointly on “Intermediate Care/
Reablement” and Carers support
• Faster progress on joint equipment services, voluntary
sector funding
Social Care
Complex /
multiple
conditions
Risk of losing
independenc
e
Enabling to
promote
independence
Health
Acute
Complex /
multiple
conditions
LTC
management
High risk
Managed care
Universal
Prevention & Health Promotion
Supported
self care
Health
improvemen
t
Hertfordshire: next steps
• Increasing levels of physical activity
• Universal 0-19 services – greater
integration
• Sexual health (beyond “teenage
pregnancy”)
• Falls services
• End of Life Care
Previous governance
structures
Board , NHS Hertfordshire
&
Cabinet, Hertfordshire County Council
Joint Commissioning
Partnership Board
JC Team
Mental Health
Children’s trust
Partnership Board
Safeguarding
LD
Substance misuse
CDOP
County-wide LSP
Stronger & safer
Healthy Communities
Other
Many Others…
Performance
tracking
Revised governance
structures
Health and Wellbeing Board
GP consortia leads/PCT
Elected members
DASS/DCS/DPH
Health Watch
District Reps?
Remit
Health & Wellbeing Strategy
Consider commissioning plans
Agree joint commissioning plans
Oversight of performance
Agree allocations to local areas
Stakeholder Forum(s)
Joint Commissioning executive
Various commissioning groups / strands
District LSPs
Providers
User/Carer
Other agencies e.g. police/probation
GPs
Challenges
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Different cultures, language (NHS, LG)
Mixed messages from Government Depts
Gap between rhetoric & reality
Building & sustaining trust – eligibility
criteria
• Growing demand, limited resources
• PH support to NHS as well as LG
• Pace of change and loss of staff