VCS Intelligence a public health asset Alison Patey

VCS intelligence ‘Community is built on what people have rather than what they don’t have ’ Cormac Russell ABCD Institute

Session Policy One year on……. Assets Challenges 3Presentation title - edit in Header and Footer

Public health Lanscape Local Government context Democratic accountability Currency has shifted from: data – intelligence – stories Connection to community 4Presentation title - edit in Header and Footer

Policy - JSNA /JHWS The purpose of JSNAs and JHWSs is to improve the health and wellbeing of the local community and reduce inequalities for all ages. They are not an end in themselves, but a continuous process of strategic assessment and planning – the core aim is to develop local evidence-based priorities for commissioning which will improve the public’s health and reduce inequalities. Their outputs, in the form of evidence and the analysis of needs, and agreed priorities, will be used to help to determine what actions local authorities, the local NHS and other partners need to take to meet health and social care needs, and to address the wider determinants that impact on health and wellbeing. 5Health equity north

Who is responsible for JSNA / JHWS Local authorities and clinical commissioning groups (CCGs) have equal and joint duties to prepare JSNAs and JHWSs, through the health and wellbeing board. The responsibility falls on the health and wellbeing board as a whole and so success will depend upon all members working together throughout the process. Success will not be achieved if a few members of the board assume ownership, or conversely do not bring their area of expertise and knowledge to the process. As the duties apply across the health and wellbeing board as a whole, boards will need to discuss and agree their own arrangements for signing off the process and outputs. 6Health equity north

Policy - JSNA & VCS Health and wellbeing boards may find that there is a lack of evidence about some issues, and some seldom heard and vulnerable groups, which could be indicative of unmet needs and deprivation. Local partners such as voluntary sector organisations or local Healthwatch may be able to help where such evidence is lacking as they are well-placed to collect both quantitative and qualitative evidence and have good specialist knowledge of the community. They can also help boards to directly engage with some of these seldom heard and vulnerable groups. 7Presentation title - edit in Header and Footer

PHE and VCS What we have got Engagement ( one way) Policy and issues to be handled What I think is missing a structural debate alignment of the offer and the ask Two way traffic on data and intelligence 8Presentation title - edit in Header and Footer

HWB Boards – one year on review Both the health and well being environment and ‘business’ are complex and risky The ‘enormity’ of task for HWBs Tensions perceived between need to drive big change now - such as integration and transformation - vs. longer term priority issues around, for e.g., health inequalities Expectations have both grown and shifted during the period since inception e.g. expectations around role in integration of health and social care and transformation agendas HWBs are still immature in development terms HWB ‘levers’ are mainly those of persuasion and growing influence rather than immediate directive ‘powers’ HWBs are part of the democratic, legal and cultural environment of local government and all opportunities/ challenges that brings 9Presentation title - edit in Header and Footer

VCS & HWB Boards Have you got a place a the table? Is your place at the table being used effectively? How could this be supported Are you facilitating the evidence available to you in the most effective way to support the setting of priorities, driving change an monitoring progress? how can you support the board to give due weight to qualitative evidence such as the personal stories of board members and the user, patient, carer and community voice? 10Presentation title - edit in Header and Footer

Evidence health inequalities are not inevitable and they can be significantly reduced.’ Michael Marmot Fair Society, Healthy Lives 11Presentation title - edit in Header and Footer

12Health Equity North Life expectancy and health life expectancy and premature mortality rates

13Presentation title - edit in Header and Footer 13Health Equity North Changes in council spending power Effects mostly across North of England

Where are the stories ? Rapid intelligence ?? Social media?? 14Presentation title - edit in Header and Footer

Health Equity North – an opportunity ? A programme to offer renewed focus and effort on North footprint to tackling health equity and addressing health inequalities Maximise impact of sectors via collaboratives across the North of England (Local government, VCS, PH, Academic, HWB ) Build on the assets of the North Use the assets of the North : Health Inequalities academic leaders / think tanks/ JRF etc. Build community & regional resilience Using the evidence : we know the what but we lack systematic knowledge of how to make an impact in a place based system Commissioning work to develop policy options & alternatives 15Health equity north

The independent inquiry Review panel Professor Margaret Whitehead chairing; a series of policy sessions on key themes relating to health inequality - identify potential new options for policy and action to catalyse change in the north; local government, voluntary and community sector, academic and business perspectives from across the north Evidence papers on enhancing community control early years and education healthy economic development place based approaches to reducing health inequalities effective welfare policy in a time of austerity - 16Health Equity North

Routes for VCS intelligence National - escalation of issues Health & wellbeing boards JSNA – a tool - not an answer Leverage and position in the system at a local level Service data / intelligence Collective action : scale up horizontal & vertical The power of stories SOCIAL MEDIA 17Health equity north

The assets Passion Politics ( P & p) People ( the tribe) Power 18Presentation title - edit in Header and Footer

Contact Alison Patey Health & Wellbeing lead Y&H PHE Centre 19Presentation title - edit in Header and Footer