Transcript Healthy Lives, Healthy People: Government Public Health

The Health Transition
Emma Easton
Regional Voices
Background
• Government White Paper Equity and Excellence:
Liberating the NHS published on 12 July
– sets out the Government’s vision for the NHS;
• Regional Voices Consultation Events September 2010
• To consider issues and impacts for the voluntary and community
sector, patients, service users and carers groups.
• Consultation Responses October 2010
• Government Response to WP 15 December
• Government Health Bill January 2011
Patient Focus and Engagement
• Respondents generally liked the move towards a more patient
focused NHS based on localised needs and provision, but the
working mechanics of this lacks clarity particularly on how to engage
seldom heard communities and individuals.
Comments include:
 Needs standardisation of engagement between health service
providers, local government, public and patients and the voluntary
community services that support them
 Patients need to be given a voice on which services are
commissioned for them
 GP Consortia and local statutory bodies need to involve communities
in their decision-making
 Important to promote the role of social enterprises and charities can
play in the NHS not only as providers but as navigators between
services
HealthWatch
• Generally, respondents welcomed the move to HealthWatch but had
significant concerns about the role of advocacy and the support
needed to make the transition.
Comments include:
 It’s hard to get representation from across the full community on
LINks
 Will HealthWatch will be adequately resourced?
 Concerns over volunteers providing advocacy or HealthWatch taking
advocacy away from specialist groups
 Potential conflict of interest if HealthWatch funded by local authorities
 HealthWatch not a good name – needs to reflect social care too
Commissioning and Democratic
Legitimacy
• Overall concern about the pace of change and the impact this would
have on the VCS
Comments include:
 GPs don’t understand the neighbourhood level preventative work which
needs to be commissioned from the VCS - Need to educate those
involved in consortia in the third sector
 There has been no piloting of GP consortia
 GPs have been conspicuous by their absence from strategic work
 What about those that aren’t on GP patient lists?
 Will affect our resources as we will have to engage with more people
 Health and wellbeing boards should have representatives from both the
third sector and patient representatives
 JSNA will be key – must learn from mistakes of the past
Information
• The information revolution promised by the White Paper must not
sideline the importance of personal interaction with the use of new
and cheap technology that is pointless to those who cannot access
or use it effectively for example people with learning disabilities and
BME groups whose first language is not English.
Comments include:
 More face to face engagement needed including multiple methods of
communication
 Decisions about local level on local needs to be made public
 Patients need access to easy read information to enable them to
make informed choice about services
 Effective data monitoring and quality information is needed including
mapping of health inequalities
What’s happening now
 National GP consortia pathfinder event in January
 Work with Royal College of GPs
 Development of GP consortia commission
 Regional work with Strategic Health Authorities
 These events as a springboard with Public Health
First pathfinder
GP consortia
NHS Commissioning Board in
shadow form – special health
authority
Accountability moves to GP
consortia but still learning
process for next year
Emerging consortia
begin to take on
delegated authority
GP consortia begin to
be authorised to take on
delegated authority
Early implementer
Health and Wellbeing
Boards announced
HealthWatch
England established
in shadow form
Dec 2010 Jan 2011 Apr 2011 Jun 2011
Pathfinder
HealthWatch
Autumn 2011
Clustering of
PCTs complete
Health and Wellbeing
Boards all in operation
HealthWatch
advocacy
role starts
NHS Commissioning
Board formally
established
Apr 2012
Accountability still
with PCT but
starting to back off
Second wave of
pathfinders announced
HealthWatch
in operation
Apr 2013
PCT
abolished
Overall
accountability
still with PCT
SHA
abolished
Further Information
Emma Easton
[email protected]
Tel: 0113 394 2304
www.regionalvoices.net