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Sue Charteris, Shared Intelligence Race for Health Conference 3 February 2011

Sue Charteris, Shared Intelligence Race for Health Conference 3 February 2011. Liberating the NHS. Why Health and Well Being Boards matter. Drowning in a sea of acronyms…. LIBERATING THE NHS. Why Health and Well Being Boards matter. What are they for….

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Sue Charteris, Shared Intelligence Race for Health Conference 3 February 2011

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  1. Sue Charteris, Shared Intelligence Race for Health Conference 3 February 2011 Liberating the NHS

  2. Why Health and Well Being Boards matter Drowning in a sea of acronyms… LIBERATING THE NHS

  3. Why Health and Well Being Boards matter What are they for… • To help shape local commissioning strategies jointly with GP commissioning partners; ensuring they are place specific • To build local democratic accountability LIBERATING THE NHS

  4. What will they do? • Prepare a joint strategic needs assessment and a • Joint health and well being strategy to influence commissioning The remit is not proscribed but they would also want to: • Consider and help shape council plans on mental health and adult care as well as GP commissioning strategies • Take a holistic view of health - linking with spatial planning, poverty, safety, leisure, housing and employment and adult social care • Set the pace for building effective ways of working and assessing progress against shared objectives LIBERATING THE NHS

  5. How can equalities be at the forefront? The Boards represent a significant opportunity to include inequalities issues in: • population health planning and, through that, • in service specifications and commissioning. • Use the Race for Health/Si publication on JSNA’s and equalities The Boards will have a public duty to do EIA’s as well as utilise the Equalities Outcomes Framework LIBERATING THE NHS

  6. How much power will they have? • As much as the efforts made now to ensure that JSNA’s, HWBB’S and commissioning plans are robust and regularly reviewed • Influence will depend on building a ‘partnership of equals’ - building on a shared commitment to the place We will learn from the early adopters but we already know they • Do not have responsibility for “quality control” though do influence service planning via analysing unmet needs • Sign off the local commissioning plans • Or scrutinise the GP comissionining clusters LIBERATING THE NHS

  7. Who will serve on them? • Local authority: probably the Cabinet lead, GP commissioning consortia, and may have reps from local HealthWatch and other partners- it will be for the partnership to decide - should include Foundation Trusts. No provision for lay experts in the form of Non Executive equivalents to the PCT’s. • But could be other local commissioners (e.g. of Work Programme) LIBERATING THE NHS

  8. What is in it for the GP’s? • GP’s are required to have regard to the Health and Well Being Strategies, (further obligations on participation may be a part of the GP commissioning development process, the NHS Commissioning Board directions and Public Health England.) • An efficient means of plugging into the wider health economy- working with police and other players to influence primary and secondary care demand • Influencing the council’s commissioning decisions • Market making LIBERATING THE NHS

  9. Convening and Accountability Who will convene them? • A local council or a partnership of councils? For example AGMA • Good question: local health scrutiny and health watch will hold the Health and Well Being Boards to account, even though HealthWatch will probably have nominated places on the Board • Yes indeed this is highly likely given the catchment areas of the acute trusts Who holds them accountable? Can they cover more than one local authority area? LIBERATING THE NHS

  10. What is in it for the GP’s? • How if at all they will seek to involve the expertise of PCT – type non executives beyond the transition period • How effectively they can represent the needs of local people- through active engagement with Health Watch and other consultations • Manage the challenge of variable geography How they will relate to individual locality needs if they do cover more than one local authority area LIBERATING THE NHS

  11. What to do now! If you are already an early adopter or just ahead of the curve then tell us how its going! Otherwise- do not wait to be told what to do: • Activate the setting up of the HWBB in shadow form- do not wait for the detail to arrive • Develop from what you have – most LSP’s have successful health partnerships, review their terms of reference, remit and composition and tailor them • Read the guidance on race equality and JSNAs • Invest in a shared language • Develop joint working skills across boroughs LIBERATING THE NHS

  12. sue.charteris@sharedintelligence.net Any additional questions? LIBERATING THE NHS

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