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Healthy Lives, Healthy people

Healthy Lives, Healthy people. Dr Jane Halpin : Chief Executive NHS Hertfordshire 28 th February 2011. High level aims. Build on the known link between socio-economic deprivation and ill health Maternal and child health Adults of working age Those with LTCs Frail elderly. Architecture.

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Healthy Lives, Healthy people

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  1. Healthy Lives, Healthy people Dr Jane Halpin : Chief Executive NHS Hertfordshire 28th February 2011

  2. High level aims Build on the known link between socio-economic deprivation and ill health • Maternal and child health • Adults of working age • Those with LTCs • Frail elderly

  3. Architecture • Health & Wellbeing Board • High level strategy, reflecting JSNA • DsPH – in local government, principal adviser on health across LG functions • DsPH also part of PH England (health protection) and accountable to PHE and to Secretary of State for Health • PH funding (but scope unclear) • Annual report

  4. Other elements PH Outcomes framework Health & Social care outcomes frameworks Joint work across housing, environment, transport, planning, children’s services, social care, environment & leisure

  5. Hertfordshire: context • Existing relationships strong – and strengthened by the changes • Joint Executive Group in place – avoid inertia • Budgetary pressures for both LG and NHS – opportunity to do things differently – be bold • History of Joint Commissioning (Mental Health, Learning Disability, Substance Misuse) with some joint provision • Already working jointly on “Intermediate Care/ Reablement” and Carers support • Faster progress on joint equipment services, voluntary sector funding

  6. Social Care Health Complex / multiple conditions Complex / multiple conditions Risk of losing independence LTC management Enabling to promote independence Supported self care Health improvement Universal

  7. Hertfordshire: next steps • Increasing levels of physical activity • Universal 0-19 services – greater integration • Sexual health (beyond “teenage pregnancy”) • Falls services • End of Life Care

  8. Previous governance structures

  9. Revised governance structures

  10. Challenges • Different cultures, language (NHS, LG) • Mixed messages from Government Depts • Gap between rhetoric & reality • Building & sustaining trust – eligibility criteria • Growing demand, limited resources • PH support to NHS as well as LG • Pace of change and loss of staff

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