Post on 05-Jan-2016
All Change?Health and Wellbeing Boards, the Story so
far
Ged Devereux North West Transition Alliance Health and Wellbeing Boards - Project Lead
11th July 2012
The Health and Social Care Act The Big Changes – What s New?
The National Commissioning Board – October 2012 Clinical Commissioning Groups – April 2013 Public Health England - transfer of Public Health – April 2013 Health Watch England and Local – October 2012, April 2013 Health and Wellbeing Boards – April 2013
So how does it look ?
NHS
NHS Commissioning
Board
Monitor (economic regulator)
GP Commissioning Consortia
Department of Health
Social care
(in local authorities)
CQC (quality)
Providers
Public Health
England
(part of DH)
(Local health improvement
in LAs)
Local authorities (via health & wellbeing boards)
HealthWatch
Local HealthWatch
What the Act delivers?Sets up the boards as Committees of local authorities (upper tier) Establishes a core membership, with flexibility to expand locallyPuts mutual obligations on councils and NHS commissioners to undertake Joint Strategic
Needs Assessment (JSNA) and joint health and wellbeing strategies (JHWS) undertaken in partnershipSets expectation that HWBs are involved throughout the NHS commissioning process, so
commissioning plans are in line with the JHWSPromotes joint commissioning and integrated provision Gives HWB a role in annual assessment of clinical commissioning groups (also a non-
statutory role in their initial authorisation)Sets a duty for HWB to involve users and the public in JSNA and JHWSKeeps scrutiny functions separate from HWBs
Leading to collective local leadership and partnership to ensure integrated care for individuals.
Health and Wellbeing Boards (HWB) – Function
The Shadow Board
So what will they do?Boards have to make a difference – “no room for business as usual”
Focus on the big priorities; not the catch all for every problem
Have a clear sense of purpose and foster good relationships – “why are we here”
Effective public engagement is crucial – “ hard choices will need to be made”
Boards need to improve outcomes not just services
The Board agenda needs to cover children and young people, not just adults
Turning around the lives of problem/complex/troubled families
Bringing people into employment and leading productive lives
Getting the youngest people in our communities off to the best start
Improving people’s mental health and wellbeing
Enabling older people to keep well and live independently in their community
Educating, informing and involving the community in improving their own health
and wellbeing
Health and Wellbeing Priorities
Building New Relationships
A Place at the Table?
Getting Involved with the Board
JSNA – part of the ongoing processJHWS – part of the solutionHealthwatch – play a part in the designMaintain lines of communication Get involved in substructures
Just another Plan?
Considered and decided by the HWBB Based on evidence from the JSNA Transparent agreed prioritisation processJoint is the key word – communicated to local people Not a collection of existing strategies Informs individual commissioning plans Golden thread Published (April 2013) and regular review -communication
The JHWS
Contact us
www.transitionalliance.co.ukcontactus@transitionalliancenw.nhs.uk0161 625 7484Twitter.com/TAnorthwest