Children & Young People’s Network meeting 26.02.13

Shaping the Bristol Health &

Wellbeing Strategy for

local children and young people

Claudia McConnell, Service Director Strategic Commissioning, BCC/NHSB

Developing the Health and Wellbeing Strategy for

Bristol

Living City - Fit for the Future

2013-18

Process

• Summer 2012 - Health & Wellbeing Board (HWB) develops a draft

• Early consultation on principles and potential priorities

• Stakeholder Conference 3rd October 2012 where key themes emerged

• VCS event on 8th November 2012• 12 week public consultation period started in

early February 2013• Strategy will be agreed by HWB in early July

JSNA 2012: Key evidence

Population changeEconomy and DeprivationChildren and young peopleAdults and older peopleHealth inequalitiesLifestyle & Health improvementHealthy CityService Landscape and Service UtilisationWebsite: www.bristol.gov.uk/jsna

Challenges

• To build on and respond to evidence in the JSNA while staying focused on key priorities

• To focus on WHAT to do and HOW to do it• Developing a strategy in the current economic

environment with the need for service/care transformation and a focus on prevention, inequalities and changing priorities (children)

• To change the status quo – do things differently or do different things?

• How does the HWB and strategy add value?

Bristol Health and Wellbeing Board: A Strategy for Bristol

Vision

Bristol is a place where all who live, work or learn in the city lead

healthy, safe and fulfilling lives, now and in the future

Principles

Working in a joined up, cost effective way to integrate good quality, sustainable services around the individual

Enabling children to have the best start in life Reducing health inequalities Preventing anyone from “falling through the gaps” Empowering people and communities to help themselves Focusing on enabling people to stay healthy, on providing

timely intervention and on reducing unnecessary demand for services

Spreading good practice and making best use of existing strategies and work programmes

Working with partners on issues that have an impact on health and wellbeing within our communities

4 Key Themes

• A city of healthy, safe and sustainable communities and places

• A city where healthy life expectancy and wellbeing are improving for everybody

• A city where health inequalities are reducing

• A city where people get access to quality support when and where they need it

Priorities• Each theme is under-pinned by specific

priorities (pages 9-11)

• Priorities based on evidence of need and of effectiveness (what works), making best use of available resources

• 12 week consultation period can be used to re-affirm/verify if approach and priorities are correct/best value

Role of the HWB

• Duty to promote integration – challenge all commissioning plans in relation to the strategy

• Influencing other agendas, such as planning and transport

• Holding to account on delivery of priorities• Has the potential to be the key strategic body

for health and care

HealthWatch People and

Patients,Carers,

Communities and Services (inc. Acute,

VCS etc)

CCG Functions

NHS CB Functions

Wider Determinants of Health

Public Health Commissioning

Children andYoung People

Adult Health andSocial Care

From JSNA to Health and Wellbeing Strategy?

Secondary Care and Specialist Services

Primary Care and Interface services

Prevention, Risk Assessment and Targeted Interventions

Framework

Wider Determinants of Health

The spectrum of children’s health needs

• Health promotion, prevention and improvement• Primary care• Children with poor mental health• Urgent care for children with acute illness• Children with long-term conditions• Children with complex health needs• Children with disabilities• Looked after children• Palliative care• Ensuring use of medicines optimises health outcomes• The health sector’s contribution to safeguarding children• The health sector’s contribution to support for troubled families