Transcript Slide 1

The voluntary sector and health
and well-being outcomes
April 2013
Claire Collen, Voluntary Sector Engagement Manager
Voluntary Sector Engagement Project
Hosted by Voluntary Norfolk; funded by Norfolk’s Health & Wellbeing Board
Focus • involvement of VCS in the health and wellbeing agenda (changing
structures/landscape)
• ensure effective routes to inform decision-making on priorities and plans
(Health and Wellbeing Board, Norfolk Public Health, Clinical
Commissioning Groups)
Key Activities
• Information and communication e.g. e-Briefings; feedback to VCS
networks & forums;
• Capacity building e.g. procurement training; advice & support to smaller
organisations; service directory (NCC/NHS);
• Strategic voice & advocacy dialogue and representation with public sector
(NCC/CCGs/Public Health) e.g. support 3 VCS reps to HWB ; work on crosscutting issues - impact of welfare reform; research (mental health,
substance misuse)
2
Overview of current Landscape (April 2013)
Under Health & Social Care Act 2012
• Abolition of Norfolk’s Primary Care Trust
• Creation of national NHS Commissioning Board (NHS
England Board)
• Creation of local Clinical Commissioning Groups (x5)
• Creation of NHS Norfolk & Waveney Commissioning
Support Unit
• Transfer of Public Health from NHS Norfolk to Norfolk
County Council
• Creation of Norfolk Health & Wellbeing Board
• Abolition of LINks; Creation of HealthWatch
3
Norwich
www.norwichccg.nhs.uk/
North Norfolk
www.northnorfolkccg.nhs.uk/
South Norfolk
www.southnorfolkccg.nhs.uk/
West Norfolk
www.westnorfolkccg.nhs.uk/
HealthEast (Great Yarmouth & Waveney) www.gywpct.nhs.uk
4
What’s the voluntary sector’s offer?
• Understanding the needs of service users and
communities that the public sector needs to address
• Closeness to the people that the public sector wants to
reach
• Ability to deliver outcomes that public sector finds it hard
to deliver on its own
• Innovation in developing solutions
• Performance in delivering services (value for money
through added value)
(National Audit Office, 2007 Hearts & Minds, Commissioning from the Voluntary
Sector)
5
Help to identify unmet
need
Source of
intelligence about
local populations
Intelligence
and analysis
of need
Support
marginalised groups
to express their
voices in needs
assessment and
consultation process
Bring together voices
from range of
communities
Information about
unmet need e.g. people
experiencing sexual
violence
Signposting, collating
and presenting diverse
views
Working with partners
on difficult issues
Developing and
defining pathways
Removing barriers to
take up of
preventative services
Enabling patients,
public and
communities of
interest to influence
service design
Service
design
Mapping current
provision & analysis
of gaps
Market stimulation
and supply chain
development
Health and wellbeing
activity
Prevention and
early intervention
Interventions targeted
at specific groups
Delivery
Support for
primary and
secondary care and
specialised services
Reducing readmissions
Community support
services e.g. transport
Scrutiny Role
Informs future
commissioning and
service design
Support
commissioners to
review existing
provision
Informs future
commissioning and
service design
Review
Examples in practice – Voluntary Norfolk
• Volunteering - 8,850 potential volunteers
contacted last year
• Specific health/social care volunteering
– Community Volunteer Coordinators
– Gorleston Community Advocates
– Volunteer Health Champions (South Norfolk)
• Administer small grant schemes for
HealthEast
10
Examples in practice – elsewhere
Rotherham Social Prescribing Service
– l/t conditions
– 5 VCS Advisors GP Integrated Teams
– ‘sign-posting’ packs for GP Practices
– VCS Advisors (‘walking data bases’) visit individual; refer to
relevant VCOs
– Grant funding for smaller VCOs
– 2-year pilot funded through NHS Rotherham
www.varotherham.org.uk/social-prescribing-service
Stroke Association
Supports 55,000 stroke survivors and their families each year
through Information & Advice, Support to Carers, Reablement and social inclusion, Stroke clubs, Stroke prevention
http://www.stroke.org.uk/
11
Examples in practice – elsewhere
Community Health Maps - Bradford Health Partnership
Online directory due for launch during April 2013. Themed topics &
searched through clicking on local district map
–
–
–
–
–
–
–
–
–
Maternity (From Bump to Babies)
Leaving hospital
Safe & Supported
Isolation
Mental Health
Domestic Violence
Long-term Conditions
Transport
Weight Loss and Exercise
Money, Housing and Legal
http://health-partnership.org.uk/hp/directories/
12
North Norfolk ...
•
•
•
•
.....
.....
.....
.....
13
Raising your profile – hints & tips
• Who do you want to develop a relationship with?
(CCG Pathway specialist? Public Health lead? District Council
officer? )
• Collaborate and co-operate with other organisations. (Networks,
forums.)
• Demonstrate the difference - numbers of users, cost, waiting list
• Prepare the ground – what are your messages? Who are you
targeting?
Research local priorities
Develop your ‘pitch’ (30 seconds; 5 mins)
Summarise your points 1 side A4
• Are you listed in current service directories e.g. Heron? (Watch out
for new directory opportunities.)
• Linked in to Voluntary Sector Engagement Project?
14
Hints & tips for commissioners
• Consider most appropriate way to make best use
of the VCO ‘offer’
• Don’t ham-string with swathes of bureaucracy
and lengthy procurement processes
• Consider the alternatives – the ‘obvious’
candidate; grant-funding (conditions)
• Meet smaller orgs where they are – their
smallness is what makes them different and can
sometimes be what you need to tackle perennial
problems.
15
Thank you
More information:
[email protected]
T: 01603 883840
http://www.voluntarynorfolk.org.uk/voluntarysector-engagement-project
16
Clinical Commissioning Groups
Groups of GP Practices who have been ‘authorised’ by DoH to
meet the medical and clinical needs of local people (through
both primary and hospital-based services).
Responsibilities include:
• Planning (commissioning) services based on assessing needs
of local population
• Securing services (purchasing) to meet those needs
• Monitoring the quality of care provided
Requirements:
• Promote integrated care
• Membership of HWB board
• Work collaboratively with Public Health & NHS
Commissioning Board
17
Norfolk Health & Wellbeing Board
• statutory body
• duty to have overview of health and well-being needs and
gaps
• develop a high-level strategy based on local priorities (Joint
Strategic Needs Analysis)
• ‘holds the ring’ of public health, ccg & social care related
activity (ToR include being a ‘driver for integration’)
• c. 26 members including 3 VCS places
• (not a commissioning body, but priorities should inform
commissioning by others)
18
Norfolk Public Health
Improve heath of local people by provision of
• Advice & information
• Services & facilities to promote healthy living & for
prevention, diagnosis or treatment of illness
• Protect local population from heath threats (emergencies,
immunisation, screening)
• Provide CCGs with population health advice
Underpinning principles
• Increasing healthy life expectancy
• Reducing differences in life expectancy and healthy life
expectancy between communities
• improving the wider determinants of health
19