1. Health Scrutiny – Health and Wellbeing

4. Commissioning and funding flows Health and well being boards statutory requirements with representation from NHS, LA, GP commissioners, Health watch Health and wellbeing strategy to drive all local commissioning informed by the JSNA DPH to be strategic health advisor and advocate for health of local populations

5. Roles & Responsibilities: Public health services commissioned / provided by LAs Sexual health services Seasonal deaths and accidental injury prevention Public mental health Obesity, nutrition and physical activity Smoking and tobacco control Alcohol & drug harm prevention and treatment programmes Immunisation programmes (delivered through schools) – NHS CB & LA NHS Health Check Programme Early presentation and diagnosis Children’s public health – services for children & young people aged 5-19 Community safety, violence prevention and social exclusion Dental public health JSNA and local public health intelligence

6. Health and Wellbeing Boards To assess the needs of the local population and lead the statutory joint strategic needs assessment; To promote integration and partnership across areas, including through promoting joined up commissioning plans across the NHS, social care and public health; To support joint commissioning and pooled budget arrangements, where all parties agree this makes sense; To undertake a scrutiny role in relation to major service redesign.

7. Health and Wellbeing Boards Strong Partnership Arrangements Engagement via Board and Partnership Addresses conflicts Subject to review

8. Emerging Issues

9. Pause? Funding? Outcomes? Timescales?