Transcript Having your say with the new health structures

Having your say within the new
NHS health structures
Following the Health and Social Care
Act 2012 the key NHS structures are:
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Department of Health
Public Health England
NHS Trusts
Clinical commissioning boards
Health and Wellbeing boards
Healthwatch
Health Education England
Monitor
Public health
• Public health England is a new agency.
• Responsibilities include protection of public
health and the provision of public health
information.
• Local authorities will have a new
responsibility to promote the health of their
population.
NHS Trusts
• NHS health trusts manage NHS
hospital care in England, including
community care and mental health
services.
• Wide range of trusts including acute
trusts, (which manage hospitals),
ambulance trusts and care trusts,
• All NHS trusts are expected to
become foundation trusts by 2014.
Clinical Commissioning
(buying services)
• A New Commissioning Landscape:
• NHS Commissioning Board
• Clinical Commissioning Groups
• Commissioning Support Services
• Primary and specialised commissioning
Health and Wellbeing
boards
What are they: A forum for ‘key leaders’ from the
health and care.
Aim: to improve the health and wellbeing of local
population and reduce health inequalities.
Who sits on the boards: representatives from:
each local clinical commissioning group, director
for adult’s and director for children’s social
services, local director of public health,
democratically elected representatives, one rep
from local Healthwatch.
When are they active: April 2013
What will they do?
• Health and wellbeing boards will
influence commissioning across health,
public health and social care.
• Undertake the Joint Strategic Needs
Assessment (JSNA) which will ‘drive the
commissioning of services’.
• Develop a ‘joint strategy.’
Healthwatch
• Healthwatch new people’s (‘consumers’)
champion for health and social care.
• Two forms: Healthwatch England, at
national level and local Healthwatch, at
local level.
Healthwatch England
• ‘Healthwatch England will act as a champion
for those who sometimes struggle to be
heard’, Anna Bradley, Chair
• Healthwatch England together with
Department of Health and Local Government
Association supporting local authorities to set
up local Healthwatch.
Local Healthwatch
Heathwatch must:
Gather the views and experiences of people:• Make people’s views known to statutory sector (Local
Authority, Hospitals, Social Care etc)
• Support the involvement of people in the commissioning
(buying in), provision and monitoring of local services
• Ensure views of patients and other service users are taken
into account in local needs assessments.
• Independent organisation, employ its own staff and involve
volunteers
• When are they active: April 2013
• Local Healthwatch have one seat on health and wellbeing
boards.
Healthwatch
• Recommend investigation or special review
of services via Healthwatch England or
directly to the Care Quality Commission
(CQC)
• Making the views and experiences of
people known to Healthwatch England to
help it carry out its role as national
champion.
LINks/Healthwatch
• Healthwatch will ‘carry forward functions of LINks’ but
will have ‘additional functions and powers’ .
• LINks rarely engaged with DDPOs
• LINks were often in direct competition with DDPOs by
selling themselves as the champion and voice of social
care users
• Did not understand the social model or independent
living as they come from very medical model
background
• Opportunity for DDPOs to increase local Healthwatch
awareness of health and social issues for disabled
people.
Get involved now!
• Your local Healthwatch is a key body for raising awareness of
disabled people’s health and social care needs.
• Healthwatch Communities Involved is encouraging local
people, community groups to join. Sign up by going to
http://healthwatch-ci.co.uk/signup/ Your contact details will
passed onto the Healthwatch in your area when it’s up and
running: www.healthwatch-ci.co.uk
• National Survivor User Network (NSUN) suggests mental
health service users to get involved. Email [email protected]
to get involved. More information is available at:
http://www.nsun.org.uk/news/sign-up-for-mental-healthwatch/
Health education England
• Health education England is ‘responsible for
the education, training and personal
development’ of all NHS staff.
Monitor
• Regulates the provision of health care services
• Main duty to ‘protect and promote the interests of patients’.
• Prevent anti-competitive behaviour which is against the
interests of patients; safeguard choice.
• Protect essential health services for patients if a provider gets
into financial difficulties.
• Assess NHS trusts for foundation trust status
• Set prices for NHS-funded care in partnership with the NHS
Commissioning Board;
• Enable integrated care
• Complaints can be made to Monitor concerning patient
choice or competition, (leaflet available). To make a complaint
contact: [email protected]
The health and social care landscape from April 2013
Health & Wellbeing
Boards (HWBs)
‘Footprint’ / Local
Parliament
Version 0.4
Sector
National
Funding
Accountability
Other
Local Authorities
(incl. Public Health)
Public Health
England
DH
Health
Education
England
NHS
Commissioning
Board
NHS Trust
Development
Authority
London
Health
Education
NHS CB
London Sector
NHS TDA
London Sector
Clinical
Senates
NHS CB
Patch Teams
Commissioning
Support
Services
contract
contract
Clinical
Commissioning
Groups (CCGs)
Monitor
Joint licensing between
Monitor and CQC
Work together
to ensure
commissioner
support for
aspirant FTs
contract
NHS Trusts
FTs
Providers
Accountability for results
Local HealthWatch
CQC
(economic
regulator)
Patients and Public
Having your say
• Why?
• Disabled people in GB one and half times more
likely than non-disabled people to report at least
some difficulty in accessing health services.
• Death by Indifference, report revealed that
deaths of 74 people with a learning disability in
NHS care over the last ten years - a direct result
of institutional discrimination.
• Important to have your say within the new NHS
structures.