Transcript Slide 1
All Change?
Health and Wellbeing Boards,
the Story so far
Ged Devereux
North West Transition Alliance Health and Wellbeing
Boards - Project Lead
11th July 2012
The Health and Social Care Act
The Big Changes – What s New?
The National Commissioning Board – October 2012
Clinical Commissioning Groups – April 2013
Public Health England - transfer of Public Health – April 2013
Health Watch England and Local – October 2012, April 2013
Health and Wellbeing Boards – April 2013
So how does it look ?
Department
of Health
NHS
Public
Health
England
(part of DH)
(Local health
improvement
in LAs)
NHS
Commissioning
Board
GP Commissioning
Consortia
Social
care
Monitor
(economic
regulator)
Providers
Local authorities (via health &
wellbeing boards)
CQC
(quality)
HealthWatch
(in local
authorities)
Local
HealthWatch
Health and Wellbeing Boards (HWB) – Function
What the Act delivers?
Sets up the boards as Committees of local authorities (upper tier)
Establishes a core membership, with flexibility to expand locally
Puts mutual obligations on councils and NHS commissioners to undertake
Joint Strategic Needs Assessment (JSNA) and joint health and wellbeing
strategies (JHWS) undertaken in partnership
Sets expectation that HWBs are involved throughout the NHS commissioning
process, so commissioning plans are in line with the JHWS
Promotes joint commissioning and integrated provision
Gives HWB a role in annual assessment of clinical commissioning groups
(also a non-statutory role in their initial authorisation)
Sets a duty for HWB to involve users and the public in JSNA and JHWS
Keeps scrutiny functions separate from HWBs
Leading to collective local leadership and partnership to ensure integrated care
for individuals.
The Shadow Board
So what will they do?
Boards have to make a difference – “no room for business as usual”
Focus on the big priorities; not the catch all for every problem
Have a clear sense of purpose and foster good relationships – “why are we
here”
Effective public engagement is crucial – “ hard choices will need to be made”
Boards need to improve outcomes not just services
The Board agenda needs to cover children and young people, not just adults
Health and Wellbeing Priorities
Turning around the lives of problem/complex/troubled families
Bringing people into employment and leading productive lives
Getting the youngest people in our communities off to the best start
Improving people’s mental health and wellbeing
Enabling older people to keep well and live independently in their community
Educating, informing and involving the community in improving their own health
and wellbeing
Building New Relationships
A Place at the Table?
Getting Involved with the Board
JSNA – part of the ongoing process
JHWS – part of the solution
Healthwatch – play a part in the design
Maintain lines of communication
Get involved in substructures
The JHWS
Just another Plan?
Considered and decided by the HWBB
Based on evidence from the JSNA
Transparent agreed prioritisation process
Joint is the key word – communicated to local people
Not a collection of existing strategies
Informs individual commissioning plans
Golden thread
Published (April 2013) and regular review -communication
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