Health and Wellbeing Board Progress Review for Health Scrutiny - PowerPoint PPT Presentation

Health and Wellbeing Board Progress Review for Health Scrutiny September 2012 Dominic Harrison Director of Public Health BwD

Transition Old to New NHS 2012

Spatial Level Institution Responsibility NHS and Local Government Health System Secretary of State Is in charge of all Department of Health Sets policy for all National North National SHA Performance manages all Commissioning Lancashire Board Spends about 20% of Local NHS PCT Budget & Public Health Cluster England Holds all to account for health Health and Wellbeing Board improvement/outcome delivery Clinical Commissioning Commissions Local NHS services Group Spends 75% of Local Budget Local Clinical Senate Advises CCG Advises all on prevention & outcome Local Authority Public Health delivery – spends about 5% (current) Service local NHS Budget Childrens and Health Scrutinises –especially HWB Scrutiny Committee Health-Watch Represents community to all Commissioning Support Regional/Lancashire/ Supports the CCG to commission Local Vehicle

BwD: Health and Wellbeing Board 3 Phases • 2011-12 : ‘Early Implementer’ Phase • 2012-13 : Shadow Health and Wellbeing Board • 2013- : Statutory Health and Wellbeing Board

National NHS Reform Vision for HWB Board & Strategy

BwD Shadow Health and Wellbeing Board: Vision & Purpose To provide a stakeholder governance committee to drive • improved health, social care, quality of life and wellbeing outcomes for local citizens. It will achieve this through rigorous examination and • challenge of all stakeholders, both within the Borough and at national, sub-national and community levels of service provision. Its strategic focus will be to increase the integration, • equity, effectiveness and efficiency of public, private, voluntary and community resources within Blackburn with Darwen’.

BwD Vision 2030 Borough Council Education, Neighbourhoods, Housing, Enforcement, Policy, Finance, IT/ICT, HR/Legal, Regeneration, Adult Social Care, Leisure, BSF, Place Voluntary Community & Faith Sectors NHS CCG Health Care Strategy Citizen Health and Wellbeing Strategy Prosperous Safe Clean Connected What is a Health and Wellbeing Strategy & what resources does the Health and Wellbeing Board have ?

Blackburn with Darwen Shadow Health & Wellbeing Board Phase 2: 2012-2013 Engagement with & Accountability to Blackburn with Darwen Citizens Outcome & Evaluation Reports to Data Can require action Governance Working Groups Input by HWB Annual Report Data, ISNA , Public Health Report Population Health Performance Reports, Quality Health and Wellbeing Strategy NHS CCG Annual Work Plan Groups Voluntary Health- Children, Adults, 50+ Sector watch NHS Commissioning Thematic Groups HWB Board BwD Cancer, Dementia, etc Elected Clinical Health & Public Health Commissioning Members Council Directorate Wellbeing England Group Board Health Plans Community, Transport, Education, Voluntary & Faith Housing, Environment, Local Community Sector Government Economic development etc members Officers Borough Council Citizens Program Including Public Social Marketing/Media Health Reporting to & Scrutinised by Borough Council NHS Commissioning Childrens ,Health and Wellbeing Local Strategic Partnership Board Executive Board Scrutiny Committee

Health and Wellbeing Strategy Specific, Integrated, Programme-managed Targeted Transformative Action Give every child the best Give every child the best Family Child start in life. start in life. Voluntary community, faith sector Promote good employment Promote good employment Work for all. for all. Public Sector Private Sector Citizens Make leisure healthy Make leisure healthy Leisure Adult Improve the quality of homes Improve the quality of homes Home Support independence and Support independence and Senior Retirement social inclusion in old age. social inclusion in old age.

How might the Health and Wellbeing Board need to Governance Health Outcomes : Example Asthma Asthma Admissions DH Press Release 11/11/11 North West Strategic Health Authority (SHA) :175 per 100,000 of the population in the 12 months to • July 2011. This compares to an average (based on all 10 SHAs) of 6,810 admissions, or 130 per 100,000 of the • population. Blackburn with Darwen Teaching Care Trust had the highest admission rate by population of any • Primary Care Trust (PCT) in the country; at 307 admissions per 100,000 (430 admissions in total), Causal Pathway & Solution Delivery Chain Childrens Community & Housing Services High Street NHS Investment Now Education Voluntary pharmacy Self help schools sector Secondary Primary Care Care (Hospital ) Accelerated Delivery Plan : Asthma Outcomes (to reduce incidence, prevalence, hospital admissions) Future Chronic Disease Management Investment Big + Integrated + Strategic + Transformational Change HWB Action Plan