Transcript Slide 1

Where next in the
development of Health and
Wellbeing Boards?
David Pearson,
Corporate Director, Adult Social Care, Health
and Public Protection and
Deputy Chief Executive, Nottinghamshire
County Council
Nottinghamshire County Council
Health and Wellbeing Boards
3 major functions:
• developing a Joint Strategic Needs Assessment
(JSNA)
• developing a Health and Wellbeing Strategy
• developing integrated working between health
and local government
Where next for Health and Wellbeing Boards?
Health and Wellbeing Boards
• Allied to the transfer of Public Health to local government
• Public Health have a foot in local government and (more
than) a foot in health commissioning
• This can be a powerful vehicle for integration
• NHS Futures Forum looked at HWBs and encouraged a
strengthened role on integrated working
Where next for Health and Wellbeing Boards?
Health and Wellbeing Boards
• Role in authorisation process for Commissioning Consortia and
ensuring that commissioning plans of consortia are in line with JSNA
and Health and Wellbeing Strategy
• National vision that the HWB is the vehicle by which councils
exercise their lead role in integrating the commissioning of health,
social care and public health services to better meet the needs of
individuals and families using the services.
• New JSNAs and Joint Health and Well-being Strategies are key
levers within this
• If the HWB feels that commissioning plans have not had adequate
regard to the Health and Wellbeing Strategy, they can write to the
NHS Commissioning Board, or local authority outlining their reasons
Where next for Health and Wellbeing Boards?
Challenges of Health and Wellbeing
Boards
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New relationships – Members and GPs
Representation
Strategic functions with long-term gain
Ensuring that commissioning has a focus
on children’s services but is integrated
across all ages
Where next for Health and Wellbeing Boards?
Opportunities of Health and
Wellbeing Boards
• Local democratic legitimacy in health services
• Integrating commissioning for local public
services
• Ensuring the best use of funding in health and
local government
• Linking activity e.g Children's Trusts
• Focussed sub structures
• A massive opportunity
Where next for Health and Wellbeing Boards?
What next?
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All Local Authorities have
established HWBs
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National and local work on what
a good Health and Wellbeing
Strategy looks like
Early Implementer learning sets
nationally
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A more local focus to health
service planning and provision
Workshop on JSNA – 3rd
October
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Major stream of work on
integrated commissioning –
regional workshop took place
Sept 9th. Templates for
development being written
Major regional event on 10th
November – David Behan
(Director General of Social
Care, Local Government and
Care Partnerships, DH) & Jane
Povey (Director for Clinical
Engagement, Commissioning
Development, DH) attending
Where next for Health and Wellbeing Boards?
What next?
Final Stage - April 2013 onwards:
• Health and Wellbeing Boards in place as vehicle by
which councils exercise their lead role in integrating
the commissioning of health, social care and public
health services.
• New scrutiny regulations in place, supporting
democratic involvement, accountability and
transparency.
Where next for Health and Wellbeing Boards?