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Engaging with the new health structures

Providing sustainability and capacity support to children, young people and family voluntary sector organisations.

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Engaging with the new health structures

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  1. Providing sustainability and capacity support to children, young people and family voluntary sector organisations. • Through: leadership and coaching, policy support, safeguarding resources and training, targeted and thematic networks, support for representational structures, and other specialised training.

  2. Engaging with the new health structures Session outline • The health reforms • Overview of the new structures • Opportunities for engagement • Considerations that may impact on engagement

  3. Introductions Brieftly: • Who you are? • Who you work for? Borough • What groups?

  4. The story of your name In pairs or in a large group: • Where does your name come from? • What does it mean to you? • Do you like it? • nickname

  5. Health reforms The Government stated the reforms aim to: • Put patients first – through giving them choice and control over care, and shared decision making • Improve quality of services and outcomes • Make systems more accountable by empowering patients, organisations and professionals. • Reduce bureaucracy and inefficiency Equity and Excellence, Liberating the NHS 2010

  6. New organisations….new terms Clinical Commissioning Groups Director of Public Health Healthwatch England Health and Wellbeing Boards Commissioning Support Units Joint Health & Wellbeing Strategy

  7. Old terms …. Stronger significance? • Joint Strategic Needs Assessment (JSNA) - an assessment of the local populations needs and will be the key document to inform decisions on what services are commissioned and provided. • Commissioning …more power given to front line clinicians and patients to make decisions

  8. What are the main changes? Nationally Department of Health – leads on health and care and ensures all bodies deliver services according to national priorities Public Health England – improve the nations health and wellbeing, and reduce health inequalities. Provides leadership for local public health services NHS England – the ‘heart’ of the health system, supports and funds local Clinical Commissioning Groups, promoting the NHS Constitution commitment and values, commissions some specialist and primary care services

  9. What are the main changes? Commissioning: Primary Care Trusts abolished. April 2013 saw: • local health commissioning through Clinical Commissioning Groups • NHS England direct commissioning • Public health commissioning by local authorities

  10. What are the main changes? Wellbeing: local authorities will set up Health and Wellbeing Boards. Membership consists of: • A local elected representative; • A representative of the local Healthwatch organisation; • A representative of each local Clinical Commissioning Group; • Director for Adult Social Services; • Director for Children’s Services and, • Director of Public Health. …and other persons or representatives the local authority or Health and Wellbeing Board think are appropriate.

  11. What are the main changes? The Health and Wellbeing Board will prepare a Joint Health and Wellbeing Strategy which is the framework in which commissioning decisions on health and care are made. JSNA are used to inform this process. Public Health focus on improving health through local determination of priorities and provision. Health promotion, improvement, protection

  12. What are the main changes? Accountability: Local Involvement Networks (LINks) are abolished and replaced by Local Healthwatch. the independent consumer champion for users and potential users of health and social care services. They will scrutinise the performance of local health and care providers. At a national level Healthwatch England will provide leadership, advice and support to Local Healthwatch.

  13. Any Questions?? Are you aware of any of these structures in your borough?

  14. What are the main issues for children and young people in your borough? Think about: • Disabled young people • Looked after • Mental health issues • Long term conditions • Minority ethnic groups

  15. Knowing who commissions what on children and young people’s health Walk around and put on the right flip chart paper which organisation you think commissions which service? • National child measurement programme • Healthy child programme • Children's healthcare services • CAMHS • Maternity services • Public health services from birth to 5 years • Dental services • Health services for children in custody settings • Immunisation programmes .

  16. Who commissions what on children and young people’s health?

  17. Opportunities for engagement The new system has requirements in terms of patient and public engagement…. ‘..Giving local communities and patients more say in the care they receive and doctor and nurses more freedom to shape services to meet people’s needs, to improve the quality of the support, care and treatment we all receive’ (Health and social care system explained www.gov.uk)

  18. What does this mean in practice? CCGs need to give ‘due regard’ to the Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy in the commissioning of services. CCGs have a duty to consult and involve patients, the public and representatives in the planning of local health services they commission. …How have or can you been involved in either of these developments?

  19. What does this mean locally? You can engage with and get views put forward via: • Health and wellbeing boards • The development of the Joint Strategic Needs Assessment • Local Healthwatch • Patient and public engagement exercises • CCG commissioning consultations • GP patient advisory groups

  20. Knowing who’s who in your locality? Two groups Who have you engaged with in the past to influence decisions? Who do you think you need to engage with now and why?

  21. Barriers/challenges What are these? Possible solutions at your disposal….. What help would you need? Other considerations: Public sector equality duty Equality objectives of CCG NHS Constitution

  22. Requirements in terms of equalities Local authority, the new Clinical Commissioning Groups and NHS England are subject to the Public Sector Equality Duty under the Equality Act 2010. • Eliminate unlawful discrimination, harassment and victimisation • Advance equality of opportunity for different groups • Foster good relations between different groups CCGs have to demonstrate they have been compliant with the Act. CCG also have regard to the need to reduce inequalities in health outcomes and access to health services

  23. Questions on equality To what extent are children and young people involved in their care? Accessibility of GP services to disabled children and young people? Is there expertise within the CCG to commission specialist health services for children? How are children and young peoples views included in public health messaging?

  24. The list of opportunities • Find out about the priorities for CCGS on children’s health and wellbeing and see if you can work with other organisations to influence the priorities • VCSE organisations should find out if their local Health and Wellbeing Board has a VCSE representative and try to influence it through this route • Find out who the contact is at the local authority and the Joint Strategic Needs Assessment development cycle so you can input into the assessment and the priorities that are set and contribute to improvement in local health needs. • Local Healthwatch sits on the health and wellbeing board and represents the views of service users. Joint your local healthwatch and contribute to this • Does the health and wellbeing strategy analyse and priorities children’s health needs?

  25. Possible solutions at your disposal….. But it is for you to find the right doors and a way to get them open! Build relationships What will you do next? Write on a postcard one thing you will do to find out more about local health structures

  26. Summary Hope we have achieved the aims of the session: • Provide overview of current system • Opportunities for engagement in the health system Thank you and please complete your evaluation form • Engage London programme • setting up of a health network More information on the Engage London project available at http://www.childrenengland.org.uk/london-councils/ Contact Tracey Bignall at Race Equality Foundation 7428 1884 or email tracey@racefound.org.uk

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