Transcript Slide 1
Supporting Influence
Resources & tools
19th March 2014
Arlington Centre, NW1
About Regional Voices
Briefings
Background- about JSNA+health and
wellbeing boards: Influencing Local
Commissioning for Health and Care Guidance for the VCS
And for boards about the VCS
http://www.regionalvoices.org/change
s
Supporting influence on HWBs
•
•
•
•
Regional networks
Bulletins
Share practice
Resources
– Voting rights
– Conflict of interest
– Influencing politicians
– Influencing the agenda
Voting
HWBs can give all members the
vote (regulation 6 modifies Local
Government and Housing Act 1989
(section 13(1))
•
•
•
•
Manchester
Cheshire East
Plymouth
West Sussex
LGA recommend it for “parity of
esteem”
But there is a lot of variation – and it
doesn’t just affect the voluntary
sector
The last resort!
Hard
to change
Evidence
Evidence out there the VCS
can use
http://www.regionalvoices.org
/evidence
Cabinet Office- unit costs
http://data.gov.uk/sib_knowle
dge_box/toolkit
Approaches
Different ways VCS can influence
JSNA
http://www.regionalvoices.org/JS
NA-more-resources
102 reps across the country on
77 health and wellbeing boards,
coming from many backgrounds:
Developing an online forum to
link reps with different issues- as
Cornwall and Co Durham may
share more than Enfield and
Kensington
London stats…
•28% of VCS reps on HWBs are in
London- higher concentration= 29
reps
•61% of HWBs in London have reps
(higher than average)
Theme
Number
of
reps
Generic
51
Older people
10
Mental health
5
BME
4
Disability
4
CAB
3
Carers
3
Volunteers
3
Advocacy
2
Health
2
Hospice
2
Young people
2
Befriending
1
Community
rep
1
Housing
1
Neuro
1
Providers
1
Self help
1
www.regionalvoices.org/
developments
[email protected]
Follow us on twitter
@regionalvoice
LGA Self-assessment development tool
• This tool aims to help boards assess their performance and
develop plans to transform public health services and outcomes for
local people.
• Allows boards to evaluate their position using a ‘maturity model',
describing what is expected of a ‘young HWB', an ‘established
HWB', a ‘mature HWB' and an ‘exemplar HWB'.
• Boards can use the tool to explore their strengths and opportunities
to improve, and inspire their ambition to develop a clear sense of
purpose and approach.
• Why useful for VCS and Healthwatch?
LGA Self-assessment development tool
• The tool explores promoting partnerships, shared decision
making, engaging stakeholders (including transparency and
mechanisms that allow stakeholders to contribute), etc
• Also assurance, learning and self development (e.g. continual
reflection); sharing innovation and good practice (e.g. addressing
barriers to progress)
• This tool developed mainly for LA reps but VCS and Healthwatch
could use this tool to gauge how well their Boards are doing and
where there may be room for improvement. Could liaise with LA
reps?
LGA Health and wellbeing boards: a practical guide to
governance and constitutional issues
• Also designed for council members but tells you both about
legislation as well as options the boards have re governance and
constitutional issues. What might be useful for the VCS and
Healthwatch- For example:
• Ways of working: certain agenda items may lend themselves to
participatory style - could include members of the public different
board members to present and lead discussion of an issue. Options
for the Board that could be explored – e.g. re developing their
JSNAs and JHWSs.
• Example 1): holding informal seminars or public engagement
conferences to involve a wide range of participants in initial
brainstorming about priorities
LGA Health and wellbeing boards: a practical guide to
governance and constitutional issues
• Case study: Bristol shadow Health and Wellbeing Board hosted a
stakeholder conference with board members and other stakeholders
including universities and VCS who are not members of the board,
to discuss priorities for the board’s first JHWS. VCS organisations in
Bristol also organised an event to feed into the development of the
strategy. The priorities identified are now being developed by a
small strategy group chaired by a GP member of the Health and
Wellbeing Board, supported by officers and reporting regularly
to the board.
LGA Health and wellbeing boards: a practical
guide to governance and constitutional issues
• In Islington, the HWB has not VCS reps but long term relationship
with the VCS – The boards priorities are based on evidence within
the Islington JSNA that have been informed by the work with the
VCS through targeted focus groups/calls for evidence and
residential questionnaires.
• Accountability and relationships between health and wellbeing
boards, other council structures and partnerships: Options:
HWBs need to be accountable to the communities they serve.
Accountability to patients and the public e.g. through an ongoing
engagement strategy, informing the way in which the board works,
etc
LGA new Integrated Care Value Case Toolkit
• This toolkit may be of use when HWBs are looking at better
coordination of care. There are several tools that may be of interest
to VCS and Healthwatch reps on HWBs. Case studies include
NWL and Greenwich:
• Integrated Care in North West London – claims to have a track
record as early leaders of integrated caretaking forward ambitions
and innovative integration programmes and two integrated care
pilots manage the care of highest risk, most vulnerable patients.
• Greenwich – Integrated Care value case – One claimed outcome:
64% of people entering the new pathway requiring no further
services after completion of the pathway and “there are good
opportunities for people to regain their independence and become
self caring”
LGA new Integrated Care Value Case Toolkit
• The LGA Integrated Care Value Toolkit includes a bank of
evidence for integrated care, if you want to look something up
around integration, chances are there will be something in here for
you
• A report from NESTA Networks that Work: partnerships for
integrated care and services shares integration experiences from
Earl's Court (Turning Point involved in a one-stop-shop and
Lambeth (the Living Well Collaborative that aims to build on
provider and service user intelligence in the commissioning of
mental health services)
LGA Knowledge hub
• Knowledge Hub is the public sector's professional social network
which local government connect and share online.
• Knowledge Hub helps LAs find, share and discuss information that's
relevant to them and their work.
• They can join groups to take part in discussion, download
documents and work with others using tools such as forums and
wikis
• Connect with other users and keep up to date with what others are
up to in LA areas of interest
• Use the search facility to look through everything on Knowledge Hub
to find the information needed
King’s Fund – Health & Wellbeing Boards –
One Year On
• This report examines how the boards have used their shadow year,
what they have achieved, and whether they are providing effective
leadership across local systems of care.
• Survey sent to 152 LAs – 70 responses. Of those approx 50% have
VCS reps on their boards
• Some concerns about the leadership role of HWBs. Reports equips
the VCS and Healthwatch with knowledge and evidence to hold the
boards to account especially with regards to health inequalities
• Great emphasis placed on health inequalities. Mental health cited as
important but out of hours care, carers, quality of services and
reconfiguration barely registered as priorities
King’s Fund – Health & wellbeing Boards – One
Year On
• Most state positive relationship with CCGs - state they can
influence CCGs but not NHS England– this may make it very
difficult to lead the development of integrated care
• The Kings Fund recommends that “strong and purposeful
relationships between CCGs and their respective local
authorities – based on partnership not takeover – offer the best
prospects for boards to lead the integration and transformation
of local services effectively. “
Kings Fund: Making best use of the Better Care Fund
• Offers an evidence-based guide to aid the discussions between
CCGs, LAs and HWBs.
• Evidence from The King’s Fund and others in number of different
areas – e.g. primary prevention; self-care; case management – and
emphasises that this evidence “must be interpreted and used
with a sound understanding of the key local challenges and the
underlying issues that need to be addressed”
• Important for VCS and Healthwatch - this document can be used
to cite evidence of evidence based interventions: e.g. self care – key
pointers for evidence including tailoring interventions to the condition
and support for informal volunteering (set to increase). With case
management – e.g. focus on early action and prevention
Sandra van der Feen
Policy Officer, LVSC
[email protected]
020 8732 5812
@lvscnews
Links to resources
• LGA Self-assessment development tool - http://bit.ly/NieVTF
• LGA Health and wellbeing boards: a practical guide to
governance and constitutional issues - http://bit.ly/1nt3eKA
• Stronger Together: How HWBs can work effectively with local
providers – National Learning Network - http://bit.ly/1d2EG6X
• LGA new Integrated Care Value Case Toolkit http://bit.ly/1hn4TK9
• Integrated Care in North West London - For example NWL states
it has a track record as early leaders of integrated caretaking
forward ambitions and innovative integration programmes and two
integrated care pilots manage the care of highest risk, most
vulnerable patients. - http://bit.ly/PE29RB
Links to resources
• Greenwich – Integrated Care value case - http://bit.ly/1nt2XY7
• The LGA Integrated Care Value Toolkit includes a bank of
evidence for integrated care: http://bit.ly/1fZDwcw
• NESTA Networks that Work: partnerships for integrated care.
http://bit.ly/1lF58mO
• Regional Voices’ summary of Integration Pioneer Sites and how
they may be working with the VCS in the different regions. Areas
featured in London include: Greenwich, Islington, North West
London, Waltham Forest and East London and City:
http://bit.ly/1eF1LYe
• LGA Knowledge Hub - http://bit.ly/1gykqEL
Links to resources
• The King's Fund webcasts, interviewing commissioners on
approaches to integrated commissioning http://bit.ly/1a8I5gu
• King’s Fund – Health & wellbeing Boards – One year On:
http://bit.ly/1o8TZfz
• Making best use of the Better Care Fund - http://bit.ly/1cmTuWF
• Kings Fund: Time to Think Differently – Future trends: Kings
Fund analysis; what next & future trends timeline (what will affect
health care delivery in the future - http://bit.ly/1kw7bcZ
• PHE: Health profiles – “summary health information to support
local authority members, officers and community partners to lead for
health improvement" - http://bit.ly/1fKIfhe
• London health facts: http://bit.ly/1eGOaj5