Public Health and the role of the Health and Wellbeing Board Dr Liz Robin, Director of Public Health Wednesday 10 th July 2013

County Council responsibilities covered by HealthWatch  Adult Social Care  Children’s Social Care  Public Health  Health and Wellbeing Board

Public health is the art and science of preventing disease, prolonging life and promoting health through the organised efforts of society

New responsibilities  In April 2013, a range of statutory public health functions, budgets of approximately £21M and about 50 staff transferred from the local NHS to the County Council.  ‘Local authorities undertaking public health duties conferred on them by the 2012 Act are still part of the comprehensive health service’  Mix of business continuity – and innovation

What do we do?  Public health intelligence – getting the needs analysis and evidence right.  Annual Director of Public Health Report  Health improvement - promoting health in partnership with a range of organisations.  Commissioning e.g. health checks, sexual health services  Provision e.g. smoking cessation services, Travellers health team  Partnership working

What do we do?  Health protection – including protection from communicable disease and other hazards  promote joint planning  provide surge capacity  Health and care public health – advise how to achieve the best population health outcomes and prioritise resources.  health advice to the Council  public health advice service to the Clinical Commissioning Group

Public Health Outcomes Four outcome domains  Improving the wider determinants of health  Health improvement – lifestyle behaviours and choices  Health protection  Healthcare public health and preventing premature mortality

Health and Wellbeing Board  The Cambridgeshire Health and Wellbeing Board (HWB) and Network brings together leaders from local organisations which have a strong influence on health and wellbeing, including the commissioning of health, social care and public health services.  Its focus is on securing the best possible health and wellbeing outcomes for all residents.

Members: Cambridgeshire County Council Members  Cllr Tony Orgee – Cabinet Member for Health and Wellbeing (C)  Cllr Fred Yeulett – Cabinet Member for Adult Services (C)  Cllr Lucy Nethsingha (LD)  Cllr Sandra Rylance (UKIP)  Cllr Joan Whitehead (L) Officers  Adrian Loades – Executive Director, Children, Families and Adults Services  Dr Liz Robin – Director of Public Health  Chris Malyon – Head of Finance (Section 151 Officer)

District Councils  South Cambridgeshire District Council – Cllr Sue Ellington  Huntingdonshire District Council – Cllr Richard West  Cambridge City Council – Cllr Sarah Brown  Fenland District Council – Cllr Ralph Butcher  East Cambridgeshire District Council – Cllr Kevin Ellis

C&P CCG  Dr Neil Modha - Chief Clinical Officer  Dr David Roberts - GP Member Healthwatch Cambridgeshire  Ruth Rogers – Chair of Healthwatch NHS England – Area Team  Margaret Berry – Director of Nursing and Quality

HWB Overview & Scrutiny Fenland Local Health Partnership Children’s Trust Voluntary Sector Hunts Local Health Partnership City and S. Cambs Local Health Partnership East Cambs Local Health Partnership Very local group “Twin Hatted” Board Members Intel / Info / Comms Commissioning District Council Members Forum Clinical Commissioning Group South Cambs Local Health Partnership Fenland Local Health Partnership Hunts Local Health Partnership Cambridge City Local Health Partnership East Cambs Local Health Partnership

Power/function Legal reference Responding to consultations about commissioning plans issued by clinical commissioning groups in connection with Section 26 of the Health and Social Care Act Section 26, Health and Social Care Act Responsibility for encouraging persons who arrange for the provision of any health or social care services in the Council’s area to work in an integrated manner Section 195, Health and Social Care Act Responsibility for providing any advice, assistance and support it thinks appropriate for the purpose of encouraging the making of arrangements under Section 75 of the National Health Service Act Section 195, Health and Social Care Act Section 75, NHS Act Responsibility for preparing the Joint Strategic Needs Assessment (JSNA) Section 116, Local Government and Public Involvement in Health Act Section 196, Health and Social Care Act Responsibility for preparing the Joint Health and Wellbeing Strategy. Section 116A, Local Government and Public Involvement in Health Act Section 196, Health and Social Care Act

Number and proportion of people age 65 years and over, Cambridgeshire, mid 2011 population estimates Source: ONS mid 2011 population estimates

Life expectancy at age 65 in Cambridgeshire, Source: Older People's Health and Wellbeing Atlas produced by the West Midlands Public Heath Observatory on behalf of the Public Health Observatories in England.

NHS Cambridgeshire and NHS Peterborough Emergency bed days by age group 2011/2012 Source: APC CDS Serco and quarterly Exeter downloads, Serco. Acute hospitals only.

Falls Emergency Admissions and Bed Days 2011/12, Persons 65+[1][1] [1] See references 41 and 42 for codes used. Source: APC CDS Serco and quarterly Exeter downloads, Serco. Bed days – Acute Hospital only.

HWB Strategy Priorities  Ensure a positive start to life for children, young people and their families  Support older people to be independent safe and well  Encourage healthy lifestyles and behaviours in all actions and activities while respecting people’s personal choices  Create a safe environment and help to build strong communities wellbeing and mental health  Create a sustainable environment in which communities can flourish  Work together effectively

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