‘Grasping the Nettle’

1. ‘Grasping the Nettle’ Cllr. Jonathan Owen Deputy Leader East Riding of Yorkshire Council

2. East Riding of Yorkshire In context • One of largest Unitaries by area – almost 1000 sq.miles • 22.7% of the population is aged over 65 • Very low BME population • Highest inward migration over past 8 years nationally • Above average net out migration of young adults • Low population density • Hidden deprivation • No large centre of population – 168 Town/Parish Councils • Market town economy • Long coastal strip

4. Life Expectancy YEARS

5. “Dr Smith—The Councillor will see you now.” Councillor Surgery

6. MARMOT REVIEW

7. 6 Policy Objectives • Give every child the best start in life • Enable all children, young people and adults to maximise their capabilities and have control over their lives • Create fair employment and good work for all • Ensure healthy standard of living for all • Create and develop healthy and sustainable places and communities • Strengthen the role and impact of ill health prevention

8. WIDER DETERMINANTS UNDER LOCAL AUTHORITY INFLUENCE • ACCESS TO SERVICES • HOUSING • PLANNING • ENVIRONMENT • EDUCATION AND TRAINING • CULTURAL SERVICES

9. Transfer of Public Health • Clinical Commissioning Groups • New Strategic Health Authorities • Abolition of PCT’s • Healthwatch • Health and Wellbeing Boards

10. What is Health and Wellbeing? The Environment Education Financial security & employment Recreation & Leisure Physical & Mental Health Social Belonging

11. A Health & Wellbeing Strategy – WHY? Liberating the NHS and the New Health & Social Care Bill says……. To ensure proper scrutiny and public engagementin Commissioning Plans & Health & Wellbeing Strategy Promote effective joint working Promote service integration Improve the quality of health services and health outcomes Reduce inequalities

12. Health and Wellbeing Board Role • Assess the needs of the local population and lead the Joint Strategic Needs Assessment (JSNA) process • Develop a high level Health and Wellbeing Strategy for the area based on the priorities emerging from the needs assessment and national health and care priorities • Promotion of integration and partnership working across all relevant areas • Support joint commissioning and pooled budget arrangements

13. Health and Wellbeing Strategy Directly informs commissioning of : • Acute health care services • Community health and care services • Adult care services • Children’s health and care services • Public health interventions • BUT should also influence deployment of resources for: housing, transport, cultural services, public protection, planning, etc

14. Health and Wellbeing Strategy • Also relies on therefore robust strategies for the wider determinants of health: • Economic development strategy • Children’s plan • Crime and disorder plan • Transport plan • Housing strategy • Cultural strategy

15. Our Vision for our Health & Well Being Strategy Better care, more locally, within budget through transformation Everyone has to do things differently BUT Residents Patients Councils Health & Social Care professionals GPs LSP Hospitals

16. What have we done • Shadow Health and Wellbeing board established • Formed relationships – CCG/LSP/Senior Officers • RAG (resource allocation group) • Elected member involvement with CCG locality leads • Workshops – joint with health • Agreed joint ‘vision’ HWBB and CCG. • Agreed our priority areas • Use of LSP sub groups

22. TWO TIER AUTHORITIES

23. Three key words • LEAD • COLLABORATE • ENGAGE • David Behan • Director General Social Care, local Government & Care Partnerships, Department of Health. Presentation Tuesday 24th. April