1. Health, Wellbeing and Social Care Scrutiny Committee

2. Introduction What is Overview and Scrutiny? Overview and Scrutiny emerged in the Local Government Act 2000 as part of the government’s modernisation agenda. Delivered by a committee structure, Overview and Scrutiny holds the City Mayor, his Cabinet and other public service providers to account for delivering priorities and for the decisions they make. It is a key mechanism for driving forward service improvements.

3. How does it work? The roles of Overview and Scrutiny cover:- Holding the decision maker to account - both before and after decisions are made Policy review and challenge Monitoring of improvement plans Ensuring corporate priorities met Scrutiny of external agencies Performance management and review Engaging partners the public and media Councillor call for action and petitions

4. How does it work? (2) Overview and Scrutiny committees are the main way by which decisions can be held to account in public for the roles we undertake. They will have an important role in reviewing the authority's policies and other matters of more general concern and making recommendations, either to the full council or to the cabinet on future policy options. Overview and Scrutiny can also influence the delivery of services of other partner organisations.

5. Health, Wellbeing and Social Care Scrutiny Committee This scrutiny committee supports the Pledge of the Council "Improving Health in Salford" and the cabinet priority of "Delivering services fit for people". Members work with the Community, Health and Social Care Directorate of the Council which includes culture and leisure services. Scrutiny also work with Salford Community Leisure, Salford NHS, Salford Royal Foundation Trust Hospital, Local Involvement Networks, Age Concern and other partners across the city.

6. Expected Role of HWB Boards Include: To promote integration and partnership through promoting joined–up commissioning plans To support joint commissioning and pooled budget arrangements. To provide a governance structure for local planning and accountability of health and wellbeing related services.

7. Sue Lightup Membership of the Health and Wellbeing Board

8. Areas of responsibility Adult Social Care : assessment and provision of services for vulnerable Older People, Mental Health, Learning Disabilities, Carers, Physical Disabilities, Integrated Commissioning of Adult Social Care, the NHS and Public Health through using the JSNA Safeguarding, Service Quality and Business Management Delivery of Health Improvement Service Welfare Rights and Debt Advice Housing and support services for vulnerable people; Services for independent living, supporting people, equipment and adaptations

9. What’s it like out there? New policy – imminent white paper for adult social care Changing pathways of support – citizen first and asset focused, information and advice provided early Transforming support – expanding use of personal budgets to get a life not a service Changing expectations to promote self help, wellbeing and community support to maintain independence Re-shaping services across the whole system to respond to welfare reforms that is fit for purpose Managing pressures of demand for adult social care support Unsustainable funding framework for adult social care Market management, safeguarding, quality of provision critical New health partnerships to increase integration

10. Aims Commission services that: –encourages people to be independent –maximise life chances and quality of life –Increase prevention and early intervention Personalisation: think local, act personal –support vulnerable people to take control of their lives, maximise personal resilience and widen choices Promote well-being with partners through integration and public sector reform

11. 2010FUTURETRANSITION NHS NHS Salford & PBC (local) Association of G M PCTs, NW Specialised Commissioning Team, SHA (GM & Regional) Salford Health and Well Being Partnership Board Clinical Commissioning Group (Hundreds Health Salford) Jan 2011 NHS Greater Manchester PCT Cluster June 2011 Hundreds Health Salford Apr 2013 National Commissioning Board Local Field Force (?) Statutory Apr 2012 Salford Health & Well Being Board Shadow Oct 2011 National Commissioning Board Shadow April 2011 as a special health authority LA and Public Health NHS Salford DPH & Specialist Team City Council DPH & Specialist Team April 2013 Public Health England April 2013 City Council Shadow Arrangements April 2011 (NHS Salford Legal Accountability until Apr 2013) Public Health England (shadow) Apr 11 Salford Health and Wellbeing Board Apr 2013 Integrated Commissioning Board for Health and Well Being – Jan 2012

12. Areas of responsibility Leadership for all council public health services and health protection advice (outbreaks, infection control, immunisation) Commissioning health improvement services Joint Health and Well Being Board development Surveillance and assessment of the population’s health and well-being (via joint strategic needs assessment) Population healthcare advice to the new CCG - Hundreds Health Salford Integrated commissioning hub development

13. What’s it like out there? Safe transition of new public health responsibilities for the City Council, Public Health England and the NHS Commissioning Board Maintaining progress on the joint strategic needs assessment and the joint health and wellbeing strategy Good progress on key public health goals – but more to do on alcohol, smoking and healthy start in life Commissioning and decommissioning so that we get the services we need to improve health and well being

14. Aims Maintain progress on reducing early deaths and reducing health inequalities across the city Increase the scale and rate of health improvement Increasing the development of Integrated Commissioning Ensure that through the successful transfer of Public Health the City maintains key strategic partnerships with the NHS

15. Further Changes Links to Healthwatch by April 2012 ICAS – complaints service for Health from April 2012 Review of Scrutiny following Elected Mayor in place by September 2012 New roles for members eg Assistant Mayor for Engagement and Communication, role pf AM for Health and Wellbeing