1. Health and Social Care Reforms: Update Angela Monaghan – Chair, NHS Calderdale angela.monaghan@calderdale-pct.nhs.uk

2. NHS Reform Health and Social Care Bill published 19 January 2011 New public health service - Public Health England Public Health White Paper published 30 Nov 2010 – consultation closes 8 March PCTs to be abolished in 2013 – SHAs in 2012

3. NHS Structures (1) NHS Commissioning Board –Chief Executive Sir David Nicholson PCT Clusters –By June 2011 there will be “45-50 nationally” –Working assumption Calderdale/Kirklees/Wakefield Commissioning Support Units –Providing functions to support health commissioners –Future: joint ventures / social enterprise –Working assumption Calderdale/Kirklees/ Wakefield

4. NHS Structures (2) GP Commissioning Consortium –One consortium in Calderdale –Election for leadership now –National Pathfinder –Building support structure and relationships –Shadow format from April 2011 Health and Wellbeing Board –H&SC Partnership Board in transition –National Early Adopter –Working through complex governance –Shadow format April 11

5. Council and Public Health Health and Wellbeing –Partnership and Scrutiny –HealthWatch –Emergency Planning Commissioning –Prevention e.g. Obesity, Alcohol –Screening, Sexual Health, SMS –Joint Commissioning Liaison with PH England

6. Building New Structures Working with GPs to confirm their requirements Working with LA on public health and Single Commissioning Working with Kirklees and Wakefield on Cluster and CSU Working with CHFT and SWYPFT on Transforming Community Services

7. Alignment of Staff Commissioning Functions Cluster/CSU GPs LA H&WB Board Transition

8. 2011/12 NHS Service Delivery No deterioration of service quality –Waiting times –A&E services –Healthcare associated infections –End of life care –Cancer screening –Stroke –Access to psychological therapies –Safeguarding children –Dentistry

9. 2011/12 NHS Service Delivery Areas for improvement –Healthcare for people with learning disabilities –Children and young people’s physical and mental health –Diabetes –Sharing non-confidential information to tackle violence –Violence against women and girls –Respiratory disease –NHS Health Check programme

10. Important Preservation of local relationships Focus on resilience and delivering the business – safety first, always Working collaboratively to maximise potential of our scarce resources