Building Strong Partnerships to

Improve Health –

Mandy ChambersHead of Health Improvement

NHS Derbyshire & Chair of Bolsover Partnership (BLSP)

Context for Partnership WorkingBenefits of Partnership WorkingFeatures of Effective PartnershipsHealth Partnership in ActionImpact of Reform & Re-organisation on Partnership Working

Unpicking Partnership Working

Public Health Context - Social Model of Health

Tackling Health Inequalities ….

“Requires action across the social determinants of health and beyond the reach of the NHS”

Marmot 2012

Strategic Context – Marmot Review

Partnerships between health and local authorities exist for:Health Protection Emergency PlanningHealth PromotionHealth ImprovementHealth Inequalities

Health & Local Government Context

Bolsover Partnership – Local Strategic Partnership (LSP) is a key mechanism

Commitment to addressing widespread inequality, including health inequalities

Integration of the complex factor which influence health throughout Bolsover Partnership Action Groups

Removal of barriers by demonstrating the value of sharing information, skills & resources

Local Context - Partnership Working in Bolsover

District

Strategic Planning & Priority setting

Skills & Experience of StaffInformation & Evidence Funding & Resources

Benefits of Working In Partnership: Helping to get

the best from -

Benefits of Working In Partnership

Use of Resources

Achieve Shared Goals Share Costs & Risks Avoid Duplication &

Waste Combine Skills &

Experience Streamline systems

Culture & Ethos

Create Shared Learning & Training

Encourage Innovation & Creativity

Build relationships for the future

Remove barriers

Better Experience & Outcomes for Service Users:Joining up servicesAdvice & information at a single access pointJoining up referral processesSignposting across services/agenciesSaving time & effort Increased satisfaction

Benefits of Working In Partnership

Common Features of Strong Partnerships

The Magic Ingredients !!!

Make Use of Local Contacts Be Part of Local Networks & Partnerships Understand Partner Roles & Responsibilities Make Partners Aware of the role of

Environmental Health Share Information & Organisational Plans Identify Shared Priorities – ‘The Win-Win’ Communicate Often Review Regularly & Monitor Outcomes Celebrate Success!

Building Strong Partnerships –Practical Steps

Health Partnerships in Action

InBolsover District Council &

Bolsover Local Strategic Partnership

Health Partnership in Bolsover District Vision & Priorities

Local Strategic Partnership (LSP) structures & systems used to share population level health data in a meaningful way

Increased awareness amongst partners of information available e.g. Public Health Observatories, Community Health Profiles

Using established networks to gather local information to enhance statistical data

Ensuring that priorities are informed by needs assessment

Health Partnership in Bolsover District

Sharing Information

Health Partnership in Bolsover District

Sharing Information - Example

www.ons.gov.ukwww.communities.gov.uk

www.neighbourhoodstatistics.gov.uk

www.apho.org.uk

Go to …….

Health Partnership in Bolsover District

Sharing Information

In Practice what information can be shared?

Distinguish Population & Personal Data Protection & Confidentiality Information Sharing Protocols Information Sharing with Consent Using referral processes to

overcome difficulties, where appropriate

Affordable Warmth Initiative - Tackling Excess Winter Deaths

Food Hygiene Advice & Training - Reducing A&E visits for D&V*

Grot to Green - Improvements to Local Environment ‘By Communities For Communities’

Supporting Older & Vulnerable People at Home - Reducing unplanned hospital admissions

Food Partnership – Promoting & Enabling Healthy Eating

Green Doctor – Working with GPs to Reduce CO Emissions

Health Partnerships in Bolsover District Some

Examples

Links up key partners, e.g. primary care Uses information & evidence to inform

priorities & actions Raises awareness of Fuel Poverty issues

& solutions throughout local community Co-0rdinates referral process for

vulnerable people Delivers training & briefings for all

Partners Produces targeted materials, e.g.

support hospital discharge

Affordable Warmth Initiative

Make Use of Local Contacts Be Part of Local Networks & Partnerships Understand Partner Roles &

Responsibilities Make Partners Aware of the Role of

Environmental Health Share Information & Organisational Plans Identify Shared Priorities – ‘The Win-Win’ Communicate Often Review Regularly Celebrate Success!

Building Strong Partnerships –Practical Steps

Presents opportunities as well as threats Chance to strengthen Public Health

awareness & advocacy within the democratic process

Potential to develop Public Heath skills and capacity across wider Local Authority workforce

Specific challenges for areas with a two tier structure

Important to maintain relationships with the emerging health commissioning organisations

Impact of Reform & Re-organisation on Partnerships

Strong Partnership working uses resources more efficiently, therefore when things are more challenging & uncertain it is essential that working together remains a priority,

‘Necessity is the mother of invention’ (ascribed to Plato )

By working together & sharing our resources we can achieve more than if we work alone

The Future – Moving Forward Partnership