VCS ADULT HEALTH AND SOCIAL CARE FORUM

27 JULY 2011

Health and Wellbeing: A County update

Mick Connell, Director of Adults and Communities, Leicestershire County Council

Why are we establishing a Health and Wellbeing Board?

• Included in the NHS White Paper ‘Equity and Excellence’ Liberating the NHS (July 2010)

• Health and Social Care Bill (January 2011) makes the establishment of a Health and Wellbeing Board mandatory for each upper tier authority

• Leicestershire is an early implementer

What does being an early implementer mean?

• Working with DH and other early implementers, sharing good practice and ideas

• Shadow Board in place by April 2011• A priority so we can:

– Keep focused on improving health and well being outcomes during transition; and

– Maintain momentum on important developments already in progress

What will the Health and Wellbeing Board do?

Primary purpose is to:

• Promote integration and partnership working between the NHS, Social Care, Public Health and other local services; and

• Improve local democratic accountability.

How will the Board achieve its purpose?

• Identify needs and priorities across Leicestershire’s population, and ensure commissioning and delivery plans reflect the findings of our Joint Strategic Needs Assessment

• Prepare and publish a Joint Health and Wellbeing Strategy

• Communicate and engage with local people about how they can achieve the best possible quality of life

• Have oversight of public sector resources, where appropriate.

What is the difference between the Shadow and Statutory Boards?

• Shadow Board is an advisory body to the County Council’s Cabinet, NHS LCR Trust Board and GP Commissioning Consortia

• Statutory Board will be in place once legislation is passed, expected to be April 2013, and will be a Committee of the County Council with executive powers

Who is on the Shadow Board?

• The Cabinet Lead Member for Health• The Cabinet Lead Member for Adults and Communities• The Cabinet Lead Member for the Children and Young

People’s Service• Two representatives of each of the Clinical

Commissioning Groups (GP Consortia) within the local authority area

• The Director of Public Health• The Director of Adults and Communities• The Director of the Children and Young People’s Service

Who is on the Shadow Board? (cont)

• LINk representation - two places (to replace with Local Health Watch representation, when established)

• The Chief Executive of NHS LCR (the local Primary Care Trust)*

• Local Medical Committee representation – one place• District Council representation – two places.

*This place will allocated to a representative of the NHS Commissioning Board when this is established and their role is more defined.

Membership may also adapt later, pending any new legislative requirements

How are stakeholders being engaged at this early stage?

• A comprehensive stakeholder engagement plan has been in place since February and is ongoing.

• This has included a series of briefings and updates to officers, staff, council members, professional groups, partnership groups, user/patient groups, NHS Trusts, LINks, Voluntary Sector, other agencies.

• Materials also made available electronically including presentations, briefing notes, frequently asked questions, press items etc.

• See our home page www.leics.gov.uk/healthwellbeingboard.htm

• Engagement lead is Sue Cavill sue.cavill@lcr.nhs.uk

What are the implications of the new board for existing groups?

The health and wellbeing board will be one of the new commissioning hubs in the Leicestershire Together partnership during its Shadow period

Theme Commissioning Boards Planning, Monitoring & Commissioning Groups Localities

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Children & Young People

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Substance Misuse Prevention & Early Intervention JSNA Steering Group Community Based Care for frailty Mental Health & Learning Disability Staying Healthy Partnership Joint Children & Child & Adolescent Mental Health

Services Waste & Cleaner Greener Climate Change Natural & Historic Environment Flood Risk Transport Rural Housing, Planning & Infrastructure Housing Services Stronger Communities / Big Society Sport & Physical Activity Voluntary Community Sector

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How will stakeholders engage with the Board?

• Number of groups will work with the Board to shape and inform commissioning decisions, and support and deliver more integrated services.

• For example a Staying Healthy sub group (focused on key areas of health improvement such as smoking, obesity etc), and several others eg Learning Disabilities Partnership Board or Substance Misuse Board.

• The sub groups involve a wide range of users, providers, commissioners, professional advisors, communities and other stakeholders - to ensure that the Board’s recommendations are well-informed and that services are successfully designed and delivered.

What’s happening now and next?• The Leics H&WB Board

– Had a development session on 19 April– Met twice (26 April and 23 June 2011) where 8 initial

priorities for the Board are being proposed

• We are continuing to:– Shape the Board’s sub structures with stakeholders– Deliver our stakeholder engagement plan– Learn from other early implementers and there is a lot

of interest nationally in our local work.

How will the Board enhance local progress to date?

• Focus on top priorities for health and wellbeing at system wide level.

• Improve governance, democratic accountability and how resources are allocated

• Reduce duplication and waste• Take a systematic approach to joint commissioning with

strong clinical leadership• Use our good foundation of partnership working to

improve integration of services• Learn collectively in this developmental, shadow year.

System Level Themes4 key themes have emerged as the focus for our

system level work:• Improving health outcomes• Improving service integration• Improving efficiency and balancing the economy• Organisational transition

• The Shadow Board has developed 8 strategic priorities under themes 1-3, based on existing JSNA evidence and strategic priorities of partners

• Organisational Transition - Transition Steering Group

Shadow H&WB Board: 8 Priorities

These 8 will form the initial focus and work plan of the Board:1. Increasing life expectancy and reducing

inequalities2. Reducing the prevalence of smoking3. Reducing the harm caused by alcohol and

drugs4. Reducing the prevalence of obesity and

physical inactivity

Shadow H&WB Board: 8 Priorities (cont)

5. Improving the care of older people with complex needs and enabling more older people to live independently

6. Improving the care of adults and children with complex needs and their carers, including those with:

• Mental health needs• Complex disability needs

7. Shifting investment to prevention and early intervention

8. Making urgent care systems for adults and children work

Joint Commissioning

• Four priorities agreed for 2011/12 – Dementia– Reablement– Quality Standards in Care/Nursing Homes– Care packages for children with complex

needs who are transitioning to adult services

Substructures and communications• Outline substructure developed with input from:

– Children Board event – April– H&WB Board event - May– LSP event - June – JSNA event – July

• Key message – willingness and opportunities to do things differently in new system and use different channels and mechanisms than before

• H&WB Board communications and engagement plan now in development

Discussion

• How can good two way communications be achieved with the Health and Wellbeing Board?  Please suggest some processes.

• What are your views about the proposed sub-structures and how could these be improved?

• What more can be done to involve stakeholders in refreshing the Joint Strategic Needs Assessment.  How can they be involved in developing the Health and Wellbeing Strategy?

• How can we build genuine engagement and participation in Health and Wellbeing with residents and communities? 

For further information:Visit our home page

www.leics.gov.uk/healthwellbeingboard.htm• TORs• Presentations• Stakeholder briefings• Press info• FAQs• H&WB Board meeting dates, agenda, papers.• Copy of the H&WB Board's response to the

pause • Copy of our HealthWatch pathfinder application.

Contact Details

Mick Connell

Director of Adults and Communities

Leicestershire County Council

mick.connell@leics.gov.uk

0116 305 7451

Cheryl Davenport

Programme Director

NHS Leicestershire County & Rutland/

Leicestershire County Council

cheryl.davenport@lcr.nhs.uk

0116 295 7546