All Change? Health and Wellbeing Boards, the Story so far Ged Devereux North West Transition Alliance Health and Wellbeing Boards - Project Lead 11 th July 2012

The Health and Social Care Act The Big Changes – What s New? The National Commissioning Board – October 2012 Clinical Commissioning Groups – April 2013 Public Health England - transfer of Public Health – April 2013 Health Watch England and Local – October 2012, April 2013 Health and Wellbeing Boards – April 2013 So how does it look ?

NHS NHS Commissioning Board Monitor (economic regulator) GP Commissioning Consortia Department of Health Social care (in local authorities) CQC (quality) Providers Public Health England (part of DH) (Local health improvement in LAs) Local authorities (via health & wellbeing boards) HealthWatch Local HealthWatch

What the Act delivers? Sets up the boards as Committees of local authorities (upper tier) Establishes a core membership, with flexibility to expand locally Puts mutual obligations on councils and NHS commissioners to undertake Joint Strategic Needs Assessment (JSNA) and joint health and wellbeing strategies (JHWS) undertaken in partnership Sets expectation that HWBs are involved throughout the NHS commissioning process, so commissioning plans are in line with the JHWS Promotes joint commissioning and integrated provision Gives HWB a role in annual assessment of clinical commissioning groups (also a non-statutory role in their initial authorisation) Sets a duty for HWB to involve users and the public in JSNA and JHWS Keeps scrutiny functions separate from HWBs Leading to collective local leadership and partnership to ensure integrated care for individuals. Health and Wellbeing Boards (HWB) – Function

The Shadow Board So what will they do? Boards have to make a difference – “no room for business as usual” Focus on the big priorities; not the catch all for every problem Have a clear sense of purpose and foster good relationships – “why are we here” Effective public engagement is crucial – “ hard choices will need to be made” Boards need to improve outcomes not just services The Board agenda needs to cover children and young people, not just adults

Turning around the lives of problem/complex/troubled families Bringing people into employment and leading productive lives Getting the youngest people in our communities off to the best start Improving people’s mental health and wellbeing Enabling older people to keep well and live independently in their community Educating, informing and involving the community in improving their own health and wellbeing Health and Wellbeing Priorities

Building New Relationships

A Place at the Table?

Getting Involved with the Board JSNA – part of the ongoing process JHWS – part of the solution Healthwatch – play a part in the design Maintain lines of communication Get involved in substructures

Just another Plan? Considered and decided by the HWBB Based on evidence from the JSNA Transparent agreed prioritisation process Joint is the key word – communicated to local people Not a collection of existing strategies Informs individual commissioning plans Golden thread Published (April 2013) and regular review -communication The JHWS

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