Transcript NCF VODG - National Association for Voluntary and

“If there is such a thing of an
age of austerity actually the
best thing we can do is think
through how we can all work
together to make the best of
what we have”
Cat Parker - Executive Project Manager, Community
Services Coventry City Council
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Nationally low levels of engagement – with
some pockets of good practice
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VCSO believe barriers to involvement
substantial
Concerns over accountability and scrutiny how to ensure CCG and H&WBB take account
of JSNA
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Fears that advocacy particularly for
marginalised, vulnerable and hard to reach
groups will be ineffective
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Large national providers not engaged
despite providing 3 to 4 billion pounds of
social and healthcare support to a wide
range of vulnerable people
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Where JSNA and H&WBB have set out to
engage the sector, results very positive
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Mechanisms for collecting information not user
friendly and insistence on quantitative over
qualitative data not helpful
Lack of sector understanding and knowledge of
JSNA and value of their contribution
Small orgs/groups lacking resources in terms of
people and money to contribute
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Local orgs not always a cohesive group so
struggle for appropriate representation.
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Stat orgs over represented on H&WBB
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HealthWatch grossly underfunded
Concern that HealthWatch = LINKS not
diverse enough representation.
Links in its current form lack skills and
knowledge to carry out the
responsibilities of heath watch
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Need identified but not cause– need to link
public health to preventative work done by
VCSO (can PH budget support this?)
Priorities – How to deal with conflicting
priorities /ensure priorities translate in to
commissioning decisions
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QIPP (& saving £20bn by 2014 mitigates
against use of strategic analysis in JSNA)
 RNIB
JSNA Engagement
 Coventry City Council
Health and Well being
Board
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1.8 million people with sight problems in
the adult population
By 2050 the number of people with sight
loss will double to nearly 4 million
people
Cost to the economy £6.5 billion through
direct costs to health and social care
services and indirect costs such as
informal care costs
 Half
of sight loss is avoidable
 20 per cent of people aged 75
and over are partially sighted or
blind
 Very few links were made to other
factors (smoking, diabetes, falls)
RNIB worked closely with Bristol PCT
and the local authority, providing upto-date evidence on population
estimates
 The JSNA set out cost-effective
interventions for at-risk groups
 An improved JSNA helped the case for
improved patient support
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Assessing needs of population and leading
joint strategic needs assessment (JSNA)
Developing Health and Wellbeing Strategy for
the City
Promote integration and partnership
Support commissioning
Liaise with national commissioning board
National and local third sector representation
A high level, hard hitting, board that can
make a difference
• Long
history of partnership working
e.g.. provider forums
• Working
between representatives from
city council and voluntary and
community sector – new partnership –
working differently together
• Meet
quarterly
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Common goals – quality services for local
citizens
Co-design – ensuring services meet local
needs
Explore means of awarding resource –
contracts, grants, partnerships, new ventures
Seek where possible to retain delivery by
locally based and governed organisations
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Good JSNA essential for effective H&WBS
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Clear and transparent decision making
informed by JSNA and H&WBS strategy
Sector intelligence to support CCG decisions re
priorities and challenge poor commissioning
decisions
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Funding for an effective HealthWatch essential
to enable proper scrutiny of user involvement
and voice
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http://www.vodg.org.uk/JSNAResources.html
http://www.communities.idea.gov.uk/c/98
0146/forum/themeindex.do?themeId=2218376