Transcript As was… - Age UK

Norfolk’s Shadow Health
and Wellbeing Board
& Clinical Commissioning
Groups
25 April 2012
Intro - the NHS Reforms
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Health and Wellbeing Boards
Clinical Commissioning Groups
Health Watch
Scrutiny
Public Health transfer
Integration of health and social care
Changes in
the NHS in Norfolk
• Five new Clinical Commissioning Groups with
£1.2bn budget (spend on healthcare) and
subject to authorisation
• One new NHS Commissioning Board (with
local offices) with budget for primary care and
specialised services
• One new Commissioning Support Service,
subject to authorisation
• One new Local Healthwatch – consumer voice
• Public Health responsibilities
What’s staying the same
• GP as main gateway into NHS
• Commitment to health and social care
join up for commissioning and provision
• Commissioner and provider split – with
Foundation Trust as the NHS provider
model and other Qualified Providers
A map of Norfolk CCGs
Role of Health & Wellbeing
Boards
• Providing local systems leadership across
health, social care and public health
• Convening role in health improvement –
tackling the causes of ill-health
• Improving health and social care services
• Promoting integration of health and social
care
H&WBs Development
• Legislation now in place
• Informal, pre-shadow year – 2011
• Now in Shadow year – 2012-13
• H&WBs formally come into effect April 2013
What have we been doing
in Norfolk?
First year ‘pre-shadow’ phase:
• Understanding function to determine
form
• Workshop style
• Scenario testing: mental health;
homelessness; obesity; smoking
• Task & Finish - Tobacco control
What have we been doing
in Norfolk?...2
Now in our Shadow Year:
• Terms of Reference agreed
• Initial membership agreed
• Aim - to ensure manageable size
committee whilst retaining broad
engagement
Health and Wellbeing Board
Context
Collective priorities for:
JSNA
Norfolk Citizens
Diminishing
resources
patients and service users
What the Board will do
Identifying critical
issues for
collective action
Sub-structures
Convene all commissioners
Rising
expectations
and demands
Test, challenge commissioning
Policy drivers
Identify dependencies
Broker and drive integration
Localism
Challenges
Task and finish hot topics
Broker solutions
Influence,
not authority
Doing, rather than
commentating
Balance between
wellbeing and
health care
Hold each other to account
LGC Award presentation
25 January 2012
Evidence, best practice, patient and citizen views and experience
Membership
• Norfolk County Council Leader*
• Cabinet Members - Children and for
Community
• Director of Public Health*
• NCC Chief Executive
• Directors of Children’s Services and of
Community Services*
• Chair of LINKs*
Membership…2
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Representative from each CCG*
All 7 District/City/Borough Councils
Chief Exec – NHS Norfolk and Waveney
Chair – NHS Norfolk and Waveney
NHS Commissioning Board - tbd
Three representatives from the voluntary
and third sector
• Rep from Norfolk Police
Norfolk’s Shadow Health &
Wellbeing Board…1
• Held first meeting – 18 April 2012
• ‘Transition’ year – to formal C’ttee
• Operating Context = emerging
commissioning priorities (CCGs &
wider health improvement) plus
emerging ‘architecture’
Joint Health & Wellbeing
Strategy & JSNA
• Joint H&WB Strategy and Joint
Strategic Needs Assessment (JSNA)
- approach agreed
• Building on partners working plans,
building from localities
• Assess & constructively challenge
• By 2013 – able to answer key
questions
Voluntary & 3rd Sector
Representation
• Process to identify appropriate
representatives
• Led by CEXs Vol Norfolk/West
Norfolk VCA
• Joint Health, Social Care and
Voluntary Sector Strategic Forum –
proposal agreed
Voluntary & 3rd Sector
Representation…2
• Clear routes for accountability back
to the Forum
• Providing a voice and link/not rep
individual orgs
• Critical role in cascading back – inc
via Vol Sector Engagement Project
A Local Healthwatch for Norfolk
• From April 2013
• Building on existing LINks activity as
the voice of the patient
• Extensive consultation with
stakeholders
A Local Healthwatch for
Norfolk…2
• Partnership based Pathfinder project
– LGA/ACEVO
• Mar to June – setting out what we
want from Healthwatch Norfolk
• July – agree who is going to deliver it
• Oct – Shadow local Healthwatch
starts
What next for the Health &
Wellbeing Board?
• Next meeting - 18th July 2012
• H&WB Strategy and emerging CCG
priorities
• Building and fostering sound working
relationships
• Working through the challenges
What next for the Health &
Wellbeing Board?
• Develop Joint Health & Wellbeing
Strategy
• Contribute to CCG authorisation
• Establish an overview of the system
• Work through relationships
• Establish locality working
• Develop engagement mechanisms