1. Having your say within the new NHS health structures

2. Following the Health and Social Care Act 2012 the key NHS structures are: Department of Health Public Health England NHS Trusts Clinical commissioning boards Health and Wellbeing boards Healthwatch Health Education England Monitor

4. Public health Public health England is a new agency. Responsibilities include protection of public health and the provision of public health information. Local authorities will have a new responsibility to promote the health of their population.

5. NHS Trusts NHS health trusts manage NHS hospital care in England, including community care and mental health services. Wide range of trusts including acute trusts, (which manage hospitals), ambulance trusts and care trusts, All NHS trusts are expected to become foundation trusts by 2014.

6. Clinical Commissioning (buying services) A New Commissioning Landscape: NHS Commissioning Board Clinical Commissioning Groups Commissioning Support Services Primary and specialised commissioning

7. Health and Wellbeing boards What are they: A forum for ‘key leaders’ from the health and care. Aim: to improve the health and wellbeing of local population and reduce health inequalities. Who sits on the boards: representatives from: each local clinical commissioning group, director for adult’s and director for children’s social services, local director of public health, democratically elected representatives, one rep from local Healthwatch. When are they active: April 2013

8. What will they do? Health and wellbeing boards will influence commissioning across health, public health and social care. Undertake the Joint Strategic Needs Assessment (JSNA) which will ‘drive the commissioning of services’. Develop a ‘joint strategy.’

9. Healthwatch Healthwatch new people’s (‘consumers’) champion for health and social care. Two forms: Healthwatch England, at national level and local Healthwatch, at local level.

10. Healthwatch England ‘Healthwatch England will act as a champion for those who sometimes struggle to be heard’, Anna Bradley, ChairAnna Bradley Healthwatch England together with Department of Health and Local Government Association supporting local authorities to set up local Healthwatch.

11. Local Healthwatch Heathwatch must: Gather the views and experiences of people:- Make people’s views known to statutory sector (Local Authority, Hospitals, Social Care etc) Support the involvement of people in the commissioning (buying in), provision and monitoring of local services Ensure views of patients and other service users are taken into account in local needs assessments. Independent organisation, employ its own staff and involve volunteers When are they active: April 2013 Local Healthwatch have one seat on health and wellbeing boards.

12. Healthwatch Recommend investigation or special review of services via Healthwatch England or directly to the Care Quality Commission (CQC) Making the views and experiences of people known to Healthwatch England to help it carry out its role as national champion.

13. LINks/Healthwatch Healthwatch will ‘carry forward functions of LINks’ but will have ‘additional functions and powers’. LINks rarely engaged with DDPOs LINks were often in direct competition with DDPOs by selling themselves as the champion and voice of social care users Did not understand the social model or independent living as they come from very medical model background Opportunity for DDPOs to increase local Healthwatch awareness of health and social issues for disabled people.

14. Get involved now! Your local Healthwatch is a key body for raising awareness of disabled people’s health and social care needs. Healthwatch Communities Involved is encouraging local people, community groups to join. Sign up by going to http://healthwatch-ci.co.uk/signup/ Your contact details will passed onto the Healthwatch in your area when it’s up and running: www.healthwatch-ci.co.uk http://healthwatch-ci.co.uk/signup/www.healthwatch-ci.co.uk National Survivor User Network (NSUN) suggests mental health service users to get involved. Email info@nsun.org.uk to get involved. More information is available at: http://www.nsun.org.uk/news/sign-up-for-mental-health- watch/info@nsun.org.uk http://www.nsun.org.uk/news/sign-up-for-mental-health- watch/

15. Health education England Health education England is ‘responsible for the education, training and personal development’ of all NHS staff.

16. Monitor Regulates the provision of health care services Main duty to ‘protect and promote the interests of patients’. Prevent anti-competitive behaviour which is against the interests of patients; safeguard choice. Prevent anti-competitive behaviour Protect essential health services for patients if a provider gets into financial difficulties.Protect essential health services for patients Assess NHS trusts for foundation trust status Set prices for NHS-funded care in partnership with the NHS Commissioning Board; Set prices for NHS-funded care Enable integrated care Complaints can be made to Monitor concerning patient choice or competition, (leaflet available). To make a complaint contact: cooperationandcompetition@monitor.gov.ukcooperationandcompetition@monitor.gov.uk

17. NHS Commissioning Board Providers Funding Accountability Other Parliament Patients and PublicLocal HealthWatch contract Accountability for results Health & Wellbeing Boards (HWBs ) Public Health England Clinical Commissioning Groups (CCGs) contract Monitor (economic regulator) contract Local Authorities (incl. Public Health) Commissioning Support Services NHS Trust Development Authority NHS CB Patch Teams NHS Trusts Version 0.4 Joint licensing between Monitor and CQC CQC National Sector ‘Footprint’ / Local Health Education England DH NHS CB London Sector NHS TDA London Sector FTs London Health Education Work together to ensure commissioner support for aspirant FTs Clinical Senates The health and social care landscape from April 2013

18. Having your say Why? Disabled people in GB one and half times more likely than non-disabled people to report at least some difficulty in accessing health services. Death by Indifference, report revealed that deaths of 74 people with a learning disability in NHS care over the last ten years - a direct result of institutional discrimination. Important to have your say within the new NHS structures.