1. Nottinghamshire Health & Wellbeing Board Peer Challenge Cathy Quinn Associate Director of Public Health

2. Peer Challenge Process Panel of external peers with relevant knowledge 4 headline questions – Clear approach to improving health and wellbeing – Effective leadership and governance system – Maximum use of skills, resources and commitment – Evaluating impact and accountability to public Interviews and Focus Groups Feedback triangulated

3. Feedback Examples of good practice Areas for consideration 3 key themes – Strategic Leadership – Communication and engagement – Governance and support

4. HWB should be providing a clear lead across the system and a clear vision of where the health & social care community needs to travel to Definitely not harnessing the full potential of the HWB Strategic Leadership Too many priorities Developed relationships and trust across different member groups Done a rattling good job in incredibly difficult circumstances An enabler not a system leader The Board has refined and shaped the strategy

5. Communication & Engagement The workshops are where some of the real benefits are A developing culture of inclusivity Local strategy consultation events were a great example of shared leadership Where are the providers in this? The HWB summaries help share the Boards business The champions are a champion idea Excellent Healthwatch leadership

6. Governance & Support “ All in boats going in the same direction, same river but would be better in the same boat ”

7. Summary Nationally, no Board has fully achieved potential. Common themes identified Boards are working well where there is: – Passion, ambition, drive and leadership – Strong foundation of partnership working – Trust, respect and collaboration – Openness to learning and challenge – Engagement with local people and communities – Shared understanding of structures & governance

8. Achievements Building firm foundation of trust and respect for collective strategic leadership Inclusive approach to developing strategic priorities Good engagement through workshops & stakeholder network Emerging champion role

9. Practical Application Health and Wellbeing Board