Joint Health and Wellbeing Unit

1. Joint Health and Wellbeing Unit Elisabeth Smart 27 February 2012 www.dghealthandwellbeing dghealthandwellbeing

4. Population Pyramids for Scotland and Dumfries & Galloway, 2008

5. Percentage change in population in Dumfries & Galloway and Scotland, 2008-2033 (2008-based projections)

6. Dg health and wellbeing Drivers improve efficiency tackle health inequalities improve health Policy context – Equally Well - SOA/GIRFEC - Change Fund

7. Crichton Hall

8. Dg health and wellbeing • Agreement in May 2010 by both the LA and NHS • Consultation (>70) Key Features • DPH as head • Accountable to the strategic partnership • Lifecourse approach and all staff moving to generalist jds

9. Dg health and wellbeing • Strategic and commissioning function • Operational function to the four localities • Combined budgets • Staff remain on existing T&Cs • Alignment to SOA, GIRFEC

10. DG Health and wellbeing org chart

11. DGHW Plans • Mix of drivers • Existing work • New work • SOA • GIRFEC • Change Fund • Need for Performance Indicators • Plans agreed Dec 2011. • Actions will be the responsibility of a named team member to take forward in partnership and consultation with key stakeholders • For commissioned work a named individual in the team will be responsible for monitoring progress of work and assessing against quality standards

12. Children’s and Young People’s Team Team comprises of: Lead Consultant 1 Council staff 3 NHS staff

13. Children and Young People’s Team High level outcome Children and young people enter adulthood with optimum levels of health and wellbeing Outcome 1 Children enter primary school with optimum levels of health and wellbeing Outcome 2 Children enter secondary school with optimum levels of health and wellbeing Outcome 3 Young people enter adulthood with optimum levels of health and wellbeing

14. Adults and Older People Team Team comprises of: Lead Consultant 2 Council staff 4 NHS staff

15. High Level OutcomeAll adults and older people living and working in Dumfries and Galloway will have the opportunity to achieve optimum levels of health and wellbeing’

16. Branding and name 3 sets of artwork Considerable consultation Name: D&G health and wellbeing Strapline: dghealthforlife Website: www.dghealthandwellbeing Brand dghealthandwellbeing

17. Finance NHS staff costs NHS various: incl. BHC; HWL Council staff costs Council various: incl. schools budget; Choose Life; HWC Non pay/recurrent from council £255K Non pay/non recurrent £289K

18. DG Health and wellbeing - overview Positives Good partnership working Clear targeting of resources Plan well received Able to utilise other resources Not so great ‘wicked problems’ and under pressure to deliver NOW Reporting 2 lots of T&Cs Cost efficiencies Finance

19. Dg health and wellbeing – current situation Still working through the commissioning model Corporate branding – difficult Plan – too many indicators – move to covalent Balance of regional vs local resources Funding – just difficult Reporting

20. What does the future hold? • Health inequalities won’t disappear • Wicked health problems remain – eg alcohol consumption; maintaining a healthy weight, breast feeding rates low • SG policy encouraging an assets based model • Cost efficiencies won’t disappear • Expectation of increased joint working and shared budgets (Change Fund)

21. Any questions? dghealthforlife