Transcript Document

Engaging Stakeholders
in the New
Joint Commissioning
Arrangements for
Children and Young People
Mark Lobban
www.hertsdirect.org
Overview
Partnership arrangements
Health and Wellbeing Board
Proposed joint commissioning framework
Questions and discussion
www.hertsdirect.org
Existing strategic partnership arrangements
Proposed strategic partnership arrangements
HEALTH AND WELLBEING
BOARD
(PEOPLE)
Sub-structure to be determined
SAFEGUARDING
BOARD
Joint Strategic Needs Assessment
HWB Strategy or plan (including Herts
Forward SCS leagacy, eg. reducing
health inequalities)
Ringfenced Public Health Grant
Outcome focussed performance
framework(delivery against NHS
outcomes framework)
HERTSFORWARD
CORE
GROUP
(Review
Suspended from March
March 2012)
2011 (to review
December 2011)
LOCAL ENTERPRISE
PARTNERSHIP
(PLACE)
Sub-structure to be determined
PDPG
Suspended from
March 2011
To be determined (based on what is
needed/ necessary) in late 2011/ early
2012 as the LEP and H&W Board
evolve
Local Economy Assessment
LEP Strategy or plan, including Herts
Forward SCS legacy (eg. reducing
wealth inequalities & a strong and
prosperous county)
Regional Growth Fund (and other
relevant funding streams)
Outcome focussed performance
framework
Health and Wellbeing Board
The Health and Social Care Bill will require a health and wellbeing board in every upper tier
local authority.
Health and wellbeing boards will include elected representatives, local HealthWatch and key
local commissioners for health and social care, including GP consortia and DsPH, adult social
care and children’s services.
Obligation for LA’s and GP consortia through health and wellbeing board to prepare the joint
strategic needs assessment (JSNA) and develop a high-level "joint health and wellbeing
strategy" (JHWS) that spans the NHS, social care, public health and could potentially consider
wider health determinants such as housing, or education.
Flexibility for health and wellbeing boards both between and within
local authority areas. Some GP consortia boundaries may be
coterminous with local authority areas, but others will not.
“Whatever makes sense locally”.
Health and wellbeing boards will provide a key forum for public
accountability of NHS, public health, social care for adults and
children and other commissioned services that are directly related to
health and wellbeing.
www.hertsdirect.org
Health and Wellbeing Board
“We intend for them to become
deep and productive
partnerships that develop
solutions to commissioning
challenges.
Collaboration must be the
norm. We want elected
representatives along with other
key local stakeholders to be
engaged in early conversations
about how local services can
best meet requirements”
www.hertsdirect.org
Health and Wellbeing Board
April 2012
‘Shadow’ health and wellbeing boards,
in every upper-tier authority
April 2011
Hertfordshire early implementer with
core membership
2012/13
Partnership without statutory powers
and duties; but all boards will need to
start preparation to:
- carry out JSNAs,
- develop JHWSs
April 2013
GP consortia and LAs receive NHS
commissioning and public health
allocations
www.hertsdirect.org
Timetable
New Children’s Services Framework
One Philosophy and Shared Direction
Focus on shared outcomes for children not structures
Strategic Commissioning Groups must span the new framework
 Early intervention and targeted services
 Specialist support at home and school
 Care and education placements
www.hertsdirect.org
Proposed joint commissioning framework
Stakeholder
group
Safeguarding
Board
Other SCGs
Early Intervention
& targeted services
HWB
Board
Other
partnerships
JCP Exec
Children
SCG
Specialist Support
at home & school
Stakeholder
group
Care & Education
Placements
Intelligence from Schools; Users & Carers; Providers; Teams etc
People and partnerships achieve better
www.hertsdirect.org
outcomes at less cost not frameworks!
HCTP 18th January 2011
Agreement to:
A specific Children’s SCG and 3 sub groups
Hertfordshire Safeguarding Children Board represented
with a dotted line to the HWB and Children’s SCG.
Further exploration around schools as commissioners
and engagement from Police and other key partners
Seek views from the Voluntary Sector on arrangements and involvement
Detail accountabilities of the Board and its subgroups ensuring appropriate
delegation and decision making powers are in place
HWB being in place from April 2011, with Children’s Commissioning groups
formed by July 2011.
www.hertsdirect.org
Questions and discussion
What lessons can we take forward from
HCTP on engaging stakeholders?
What arrangements should be put in place for the
Children’s Strategic Commissioning Group to engage
with stakeholders?
www.hertsdirect.org