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The Health Transition

The Health Transition. Emma Easton Regional Voices. Background. Government White Paper Equity and Excellence: Liberating the NHS published on 12 July sets out the Government’s vision for the NHS; Regional Voices Consultation Events September 2010

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The Health Transition

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  1. The Health Transition Emma Easton Regional Voices

  2. Background • Government White Paper Equity and Excellence: Liberating the NHS published on 12 July • sets out the Government’s vision for the NHS; • Regional Voices Consultation Events September 2010 • To consider issues and impacts for the voluntary and community sector, patients, service users and carers groups. • Consultation Responses October 2010 • Government Response to WP 15 December • Government Health Bill January 2011

  3. Patient Focus and Engagement • Respondents generally liked the move towards a more patient focused NHS based on localised needs and provision, but the working mechanics of this lacks clarity particularly on how to engage seldom heard communities and individuals. Comments include: • Needs standardisation of engagement between health service providers, local government, public and patients and the voluntary community services that support them • Patients need to be given a voice on which services are commissioned for them • GP Consortia and local statutory bodies need to involve communities in their decision-making • Important to promote the role of social enterprises and charities can play in the NHS not only as providers but as navigators between services

  4. HealthWatch • Generally, respondents welcomed the move to HealthWatch but had significant concerns about the role of advocacy and the support needed to make the transition. Comments include: • It’s hard to get representation from across the full community on LINks • Will HealthWatch will be adequately resourced? • Concerns over volunteers providing advocacy or HealthWatch taking advocacy away from specialist groups • Potential conflict of interest if HealthWatch funded by local authorities • HealthWatch not a good name – needs to reflect social care too

  5. Commissioning and Democratic Legitimacy • Overall concern about the pace of change and the impact this would have on the VCS Comments include: • GPs don’t understand the neighbourhood level preventative work which needs to be commissioned from the VCS - Need to educate those involved in consortia in the third sector • There has been no piloting of GP consortia • GPs have been conspicuous by their absence from strategic work • What about those that aren’t on GP patient lists? • Will affect our resources as we will have to engage with more people • Health and wellbeing boards should have representatives from both the third sector and patient representatives • JSNA will be key – must learn from mistakes of the past

  6. Information • The information revolution promised by the White Paper must not sideline the importance of personal interaction with the use of new and cheap technology that is pointless to those who cannot access or use it effectively for example people with learning disabilities and BME groups whose first language is not English. Comments include: • More face to face engagement needed including multiple methods of communication • Decisions about local level on local needs to be made public • Patients need access to easy read information to enable them to make informed choice about services • Effective data monitoring and quality information is needed including mapping of health inequalities

  7. What’s happening now • National GP consortia pathfinder event in January • Work with Royal College of GPs • Development of GP consortia commission • Regional work with Strategic Health Authorities • These events as a springboard with Public Health

  8. NHS Commissioning Board in shadow form – special health authority Accountability moves to GP consortia but still learning process for next year First pathfinder GP consortia GP consortia begin to be authorised to take on delegated authority HealthWatch advocacy role starts HealthWatch in operation Emerging consortia begin to take on delegated authority Early implementer Health and Wellbeing Boards announced HealthWatch England established in shadow form NHS Commissioning Board formally established Pathfinder HealthWatch Clustering of PCTs complete PCT abolished Accountability still with PCT but starting to back off Overall accountability still with PCT SHA abolished Second wave of pathfinders announced Health and Wellbeing Boards all in operation Apr 2012 Autumn 2011 Dec 2010 Jan 2011 Apr 2011 Jun 2011 Apr 2013

  9. Further Information Emma Easton Emma.easton@regionalvoices.org Tel: 0113 394 2304 www.regionalvoices.net

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