Health & Well-being Boards in Derby City & Derbyshire

Derek Ward – Director of Public Health, Derby CityCath Roff, Strategic Director of Adults, Health and

Housing, Derby CityBruce Laurence, Acting Director of Public Health,

Derbyshire County

Overview

• Model in Derby City

• Model in Derbyshire County

• Similarities

• Differences

• Local Authority reflections

Derby City Health and Wellbeing Board

2019

18

17

16

15

14

1312 11 10

9

8

7

6

5

4

321 Role Seats

Elected Politicians

5

NHS “Commissioners”

6 (5 if you exclude DPH)

Local Authority Officers

3 (4 if you include DPH)

“Providers” 3 (4 if you include CCG)

Third Sector 3

Why this composition?

• Strong democratic legitimacy• Fits with emerging statutory guidance• Attempted to balance different key organisations• Included Providers following Board discussion• HWB is already a Cluster sub committee, an LSP

“outcome board” and will be a sub-committee of the City Council

• Positioned as the health and wellbeing strategic group for the City

Derbyshire County Health and Wellbeing Board

2221

20

19

18

17

16

15

1413 12 11

10

9

8

7

6

5

4

321

Role Seats

Elected Politicians 7 (five county, 2 district/borough

NHS “Commissioners”

10 (9 excluding DPH)

Local Authority Officers

4 (5 including DPH)

“Providers” and third sector

1 (Link)

Model In Derbyshire County

• Six consortia and a two tier structure– therefore potentially very large board

• No providers– size of board and at least four large providers.

• No voluntary sector (ex Link)• Methods of engaging outside board important• Sub-committee of County Council• Adult board and children’s trust report in to HWB• Developing H and WB strategy

Similarities and differences

• Strong Democratic Legitimacy

• Fits with emerging guidance

• Oversight of county health and wellbeing strategy

• Narrower membership to accommodate two tier structure and multiple CCGs.

Some items coveredCounty

• CCG Development and the role of the board in NHS commissioning

• JSNA & the H and WB strategic framework

• Childrens joint commissioning + Health visitors

• Family literacy

• Screening, health protection, sexual health

• There has also been a large HWB stakeholder event with wide provider, public sector and voluntary sector input

City• Facilitated sessions on the

new system and roles and responsibilities

• JSNA and Child Poverty needs assessment

• Childrens joint commissioning and Health visitors

• Citizen involvement / engagement in health and commissioning

• Governance arrangements

Local Authority Reflections

• Readily embraced the place shaping and leadership role for local authority

• Development sessions important to understand each other’s worlds

• Members and GPs – both get local and people focus• Get the wiring right for children’s services• The work of the Board must be bigger than Board meetings• Inclusion and participation of all stakeholders important• Got to get the fit right with Oversight and Scrutiny

Summary

• Close working between City and County and 1 NHS Cluster across both

• Some similarities in the composition of HWB• Differences reflect the views of the Boards• Infrastructure to support the Boards is still being

developed• Links to Children and Young People Boards,

Safeguarding and other groups still being developed but likely to be different.