Health in Our Hands Changes in the NHS and Health and Wellbeing Board

Councillor Carolyn RuleChair Shadow Health and Wellbeing Board

Overview

• Why• Who• What• Healthwatch• Health and Wellbeing Strategy• How you can influence

Health and Social Care Act

The Act will:• Devolve power to front-line doctors and

nurses• Drive up quality• Ensure a focus on integration• Strengthen public health• Give patients more information and choice• Strengthen local democratic involvement• Reduce bureaucracy

Why a Health and Wellbeing Board• Statutory duty on the Council to develop by April

2013 • Requirement to have a shadow board by April

2012. • Bring together democratically elected

representatives and patient representatives with local commissioners across health, public health, and social care

• Strengthen the democratic legitimacy of commissioning decisions

• Provide a forum for challenge, discussion, and the involvement of local people

Health and Wellbeing Board

• Membership as per national guidelines with additional representation from voluntary sector and police

• Meet every 6 weeks • Formal meeting in public (papers on

Cornwall Council website)• Informal – workshops and relationship

building• Addressing partnership links

Health and Wellbeing Board Members• Cornwall Council • Portfolio Holder for Health and Wellbeing • Portfolio Holder for Childrens Services • Portfolio Holder for Adult Care and Support • Director Adult Care and Support• Director Public Health• Director Children & Family Services• NHS Cornwall and Isles of Scilly • Chief Executive• Kernow Clinical Commissioning Group • Healthwatch• LINk volunteer x2• Voluntary Sector• Changing Lives lead• Community Safety• Devon and Cornwall Police• NHS commissioning board• TBC

Aim of Health and Wellbeing Board

The aim of the Health and Wellbeing Board isto engage and work together to develop strategies, based on a robust assessment of need that will guide individual agencies to commission and provide services that increase life expectancy, improve quality of life and reduce health inequalities of the people of Cornwall.

What are we doing?• Co-producing a specification for Healthwatch• Co-Producing our Joint Health and Wellbeing

Strategy• Working closely with NHS partners including

the new Kernow Clinical Commissioning Group

• Building links with the European Centre for Environment and Human Health, the Local Enterprise Partnership, Local Nature Partnership and the Health and Wellbeing Innovation Centre

Healthwatch • Local authorities must commission Local Healthwatch by April 2013

(Cornwall’s will be in shadow form from January 2013). It will replace the LINk.

• Local Healthwatch will ‘influence’ and ‘sign post’ across all services (including children’s). Local Authority must also contract for NHS complaints advocacy.

• Cornwall was selected as a Healthwatch pathfinder.

• Stakeholder consultation took place December 2011. Further public engagement planned for late May (delivery model)

• Cornwall Council has entered into negotiations with the voluntary and community sector who are now consulting with the sector on how Healthwatch can be delivered.

• Funding will continue via the Local Formula Grant (as per current LINk) with additional funding for signposting and advocacy. Will also be contribution to set up costs. Details awaited from Department of Health.

Health and Wellbeing Strategy• What we need for Cornwall

• Evidence based (Joint Strategic Needs Assessment, Assets Assesment)

• Developed with the public

• People focused

• Added value

• How do we do it better?

• Wide engagement

Developing the Health and Wellbeing Strategy

The Strategy: What it is…

• Strategic

• Based on outcomes

• A lead for commissioning across a range of partner organisations

• An umbrella for joining-up other strategies based on identified needs and assets

• An opportunity to take action on identified priorities across the system and unlock potential change for priority groups

• About health, wellbeing and happiness – a holistic view

• Positive – we can do this!

The Strategy: What it isn’t…

• A detailed commissioning plan

• Led by one group/perspective

• About existing structures/buildings/services etc

• Waiting for official guidance or imposed from elsewhere

• Reinventing the wheel or flat tyres!

Joint Strategic Needs Assessment

www.cornwall.gov.uk/jsna

JSNA

Legislation

and

Policy

Mapping

Commissioners

Voluntary

Community

Sector

Places

Themes

Joint Strategic Asset Assessment

• According to the the Asset-Based Community Development

Institute ((ABCD) School of Education and Social Policy at Northwestern University):

“local assets are considered as the primary building blocks of sustainable community development. Building on the skills of local residents, the power of local associations, and the supportive functions of local institutions, asset-based community development draws upon existing community strengths to build stronger, more sustainable communities for the future.”

• Through collaboration Cornwall is exploring different approaches to maximising our collective assets whether they be social,

economic or environmental to improve wellbeing and health.

Draft Vision for Health and Wellbeing

“By 20** Cornwall will be recognised for its innovative and people-centred approach to wellbeing, health and care capitalising on its unique environment. Individuals, families and whole communities will be able to take responsibility for their wellbeing supported by integrated local delivery networks, information and advice. All organisations including the business community, voluntary organisations and education will be working together in a holistic way to ensure that adequate, high quality and targeted services are both accessible and available. People living healthily for longer with a good quality of life will be everyone’s commitment.”

Changing Lives – The Potential

Multiple Outcomes

Developing the Health and Wellbeing Strategy

Draft timetable

Feb

HAWB agree scope

Apr

Draft HAWS outcomes/priorities produced

June

Engagement on draft outcomes/priorities

March

HAWB agree prioritisation

May

Engagement on draft outcomes/priorities

July

HAWB sign off strategy

Technical group meetings Stakeholder group meetings

How do you get involved?• Engagement Events• 28 May – St Austell One Stop Shop• 29 May – Tregenna Castle• 1 June – Shire House Suite, Bodmin• 26 June – Parc House Centre, Bude• Stakeholder Advisory Forum – 21 June• Royal Cornwall Show• www.cornwall.gov.uk/transforminghealth • How do you want to be involved?

Questions?