Joint Health and Wellbeing Strategy (Plan) Mick Hancock Assistant Director Joint Commissioning

Introduction In the Health and Social Care Act, the Government says we should have a Health and Wellbeing Board in place by April 1 st 2013 Its job is to make sure we have the right health, social care and wellbeing services The people on the Board are local commissioners of health and social care, public health, councillors, patient/user representatives and the voluntary sector

What does the Board do? Two key tasks of the new Health and Wellbeing Board are: 1.To write the Joint Strategic Needs Assessment (JSNA) (more about this in a minute) 2.To write the Joint Health and Wellbeing Strategy (JHWS) (Plan) The Law says Milton Keynes Clinical Commissioning Group (MKCCG) and Milton Keynes Council (MKC) must do these 2 things Both must be published JSNA JHWS

Joint Strategic Needs Assessment (JSNA) The JSNA will tell us: How things like money, housing and education affect health and well being About changes in the number of people who live in MK If people are not as healthy as other people – why is this? JSNA

Examples For example, the JSNA can tell us about People who need a better place to live How many carers live in Milton Keynes and care for more than 50 hours per week People’s education (do they have 5 GCSEs including English / Maths) How many adults smoke How many people we think will need to go to hospital

Joint Health and Wellbeing Strategy Things the JHW Board must do: Write a shared strategy (plan) to do the things the JSNA said people need Commissioners have to look at the plan before they buy services Write an annual report to tell people how they are doing NHS Commissioning Board must look at how MK CCG has done these things

What the Joint Health & Wellbeing Board need to do There are 9 important things for them to do: Improve Wellbeing Healthier Lifestyles –Smoking, Exercise, Diet, Alcohol, Sexual Health, Healthy Workplaces Mental Health –IAPT (Increasing Access to Psychological Therapies), dementia, self esteem, exercise The strength of community –Work with families, connections, carers

Reduce Early Deaths and Tackle Major Diseases Help to stop diseases and deaths –Give the same advice to everyone –Find illnesses quickly –Tell people how to look after themselves if they are ill Accidents and Injuries –Over 65s and under 5s Reduce unnecessary hospital admissions –Find people most at risk and target services –Reduce people admitted from care homes –End of life care within the community –Join up more health and social care services

Reduce health inequalities Reduce poverty –Employment opportunities –High quality child care –Affordable housing –Children in poverty Equitable employment opportunities –Focus on years –Those with disabilities –Long term unemployed Vulnerable adults and children –Maximise capabilities –Children gain good development level at 5 years –Safeguarding – high quality and integrated

Timeline December 2011 – first Shadow Health and Wellbeing Board (HWB) Tasks identified included: JSNA MK Health and Wellbeing Strategy Jan – May 2012 Monthly meetings of Strategy Development Group 24 th May Shadow HWB – agreed strategy consultation 23 rd August Consultation closed 27 th September Final Draft to Shadow HWB 2 nd October CCG Board approval 17 th October MKC Cabinet 23 rd November Strategy Launch – Stadium MK