SUMMARY OF HEALTH SERVICE REFORMS AND THEIR LOCAL IMPLEMENTATION

• NHS WEST MIDLANDS and its ‘MANAGEMENT CLUSTERS’, one of which is the BLACK COUNTRY CLUSTER (BCC)

• CLINICAL COMMISSIONING GROUPS within the BCC and for Dudley.

• Dudley’s emerging HEALTH AND WELL-BEING BOARD

• Healthwatch.

NHS WEST MIDLANDS

• NHS West Midlands (fusion of ‘SHA’ structures) has 5 ‘management clusters’ (PCT based). NHSWM created as a ‘regional health service’ as part of the government’s reform programme.

• The 5 clusters are:- BLACK COUNTRY (Sandwell, Dudley,

Wolverhampton, Walsall)- Staffordshire (North Staffs, South Staffs, Stoke-

on-Trent)- West Mercia (Worcestershire, Herefordshire,

Shropshire County, Telford and Wrekin)- Arden (Coventry, Warwickshire)- Birmingham (Birmingham, Solihull)

BLACK COUNTRY CLUSTER

• NHSWM has a chief executive (Ian Cumming OBE)• BCC has a chief executive (Rob Bacon) who is in the

process of appointing a single executive team.• Within each cluster INDIVIDUAL PCTs will remain

responsible and accountable for their own performance and the commissioning of services for their populations.

• The cluster will be responsible for identifying and implementing management cost reductions, improving the quality and productivity of services (QIPP programme), and considering the future shape of health services.

CLINICAL COMMISSIONING GROUPS (CCG)

• 27 announced for West Midlands selected to be the first to take on the commissioning responsibilities as part of the government’s plans for NHS. CCGs will work together to manage their local budgets and buy health services for patients direct with other NHS colleagues and Local Authorities. ‘Pathfinder’ CCGs will be able to commission quality care that is tailored to meet the specific needs of their patients and the wider community.

CCGs (continued)

Within the BCC the following CCGs declared to date:

- Black Country GP Consortium (Sandwell) 18 practices – 315 000 population (Dr Solomon)- Sandwell Health Alliance 22 practices – 97 000 pop (Dr Andreou)- Health Works Commissioning Consortium (Birmingham and Sandwell) 19 practices – 150 000 (Dr Harding)

- Dudley GP Consortium 55 practices – 315 000 pop (Dr Hegarty)

- Walsall GP Consortium (WGPC) 54 practices – 210 000 (Dr Sahota)- Wolverhampton (2 consortia) 41 practices – 225 000 (Dr DeRosa) 14 practices – 43 000 (Dr Mahay)

…one function for the CCG

• ‘CCG engages meaningfully with patients, carers, and (its) communities in everything it does, especially commissioning decisions, and acts upon this input.’

• We will come back to this later on…

DUDLEY HEALTH AND WELLBEING BOARD

• HWB Boards are to be statutory (Health and Social Care Bill, 2011)

• ‘…..It has been agreed that the Health & Well-Being Partnership is dissolved to form the new Shadow Dudley Health & Well-Being Board as a result of the Government's NHS White Paper 'Equity and excellence in health, liberating the NHS', (published July 2010) and its implications for Dudley, one of which was that Health and Well-Being Boards would be established within Local Authorities.

• The purpose of the Shadow Dudley Health & Well-Being Board (DHWBB) are to include:

• the Council having a role to encourage coherent commissioning strategy across the NHS, social care, public health and other partners;

• responsibility by both the Local Authority and the GP Consortia for the Joint Strategic Needs Assessment (JSNA) and the Pharmaceutical Needs Assessment (PNA); and

HWBB (continued)

• to develop a Joint Health and Well-Being Strategy as a concise, high level and overarching framework which does not duplicate other plans and considers how pooled budgets and joint commissioning arrangements can be used to deliver the strategy.  

• The development of the overall Joint Health and Well-Being Strategy will have the aim of improving the health of Dudley people.

• The establishment of a Shadow DHWBB is a fresh opportunity for all concerned to help improve the health of Dudley people through work on issues and services connected to health, care and the wider determinants of health for the whole population, across all the stages of life…..’

NOTE: Essentially, GP Commissioner priorities will be influenced and shaped by the Joint HWB Strategy)

How can we get involved with some of these ‘new’ bodies in ways that will improve the health and

wellbeing of the people of Dudley?

(Getting ourselves better organised – slide 1)

• The bodies may not know about us so we must make ourselves known.

• This does not cost money to do, just 3p

Getting ourselves better organised – slide 23p

– PURPOSE: be clear about what we do and provide.– POSITION: network with others and form alliances

and working partnerships between our groups, and seek to meet with those who can approve changes to the current arrangements.

– PERSUASION: gather evidence on the benefits that can arise from change (through engaging with our services). Think about VFM; improved outcomes that are ‘person-centred’; delivering better experiences for those needing support / services.

Getting ourselves better organised (slide 3)….

• Are we all clear about who amongst ‘us’ currently has an involvement in these emerging groups / bodies?

• Have we got good lines of communication with these colleagues?

• Do we need to do anything more at this stage?

One idea on what we might do – what do you think?

• Start a ‘directory’ of community-based / voluntary sector / charitable organisations that would be of use to GPs, CCG, Black Country Cluster Board.

• Maybe show information in a concise and common format – what we do, where, access/referral arrangements…..

• Crucial point: how do our activities help in the improvement of the health and wellbeing of an individual.

• Could your group deal with this last point in (say) 70 or 80 words?