Derbyshire County Council Health and Wellbeing Stakeholder Engagement Forum 13 September 2011
Setting the Scene Derbyshire County Council Two Government White Papers •Equity and Excellence : Liberating the NHS – July 2010 •Healthy Lives, Healthy People – November 2010 Health and Social Care Bill – January 2011
Government Aims Derbyshire County Council • Putting patients and the public first • Improving healthcare outcomes • Improving accountability and empowering health professionals – No Decision About Me, Without Me • Cutting bureaucracy and improving efficiency
What will happen Derbyshire (from April 2013) County Council •Abolition of SHAs and PCTs •Creation of: • NHS Commissioning Board • Public Health England •GP led commissioning (Clinical Commissioning Groups) •Public Health to transfer to County Council •Health and Wellbeing Boards established
In More Detail Derbyshire County Council • Clinical Commissioning Groups will take on most of the PCTs current responsibilities • NHS Commissioning Board will hold CCGs to account • Public Health England will be created within DoH – Health Protection – Intelligence and Information – Administer Public Health Grant (including Health Premium) • County Council – Responsible for health improvement and reducing health inequalities – Some treatment services – Oversight of commissioning – Will receive ring fenced Public Health Grant – Must establish Health and Wellbeing Board
Health and Wellbeing Boards - Role Derbyshire County Council • Joint Strategic Needs Assessment • Joint Health and Wellbeing • Emphasis on Joint Commissioning and integrated provision between health and social care • Ensure that CCGs commissioning plans are in line with the Strategy • Lead on public involvement • Committee of the County Council • Subject to statutory arrangements for scrutiny
What’s Happening Now Derbyshire County Council • 5 GP Clinical Commissioning Groups (+ Glossop) • High Peak • North Derbyshire • Erewash • Hardwick • Southern Derbyshire • PCT Cluster • County Council to receive “shadow” public health budget for 2012/13 • Shadow Health and Wellbeing Board established
Health and Wellbeing Board – Local Arrangements Derbyshire County Council • Derbyshire “early implementer” • Derbyshire Partnership Forum discuss proposals • “Shadow” Board membership broadly follows Health and Social Care Bill • First meeting 7 July 2011
Shadow Board Composition Derbyshire County Council • Council Leader (Chair) • Cabinet Member for Public Health • Cabinet Member for Adult Care • Cabinet Member for Children and Young People • Director of Public Health • Strategic Director of Adult Care • Strategic Director of Children and Younger Adults • Strategic Director of Policy and Community Safety • District Council Members (2) (Supported by one Chief Executive) • Local Health Watch Representative (initially LINks) • Clinical Commissioning Groups (6) • NHS Derbyshire County (until the PCT is abolished) • NHS Tameside and Glossop (until the PCT is abolished) • NHS Commissioning Board (when required) • Public Health England (when required)
Partnership Structure Derbyshire County Council
Inclusion Derbyshire County Council • Stakeholder Forum • Other arrangements: • Older people’s forums • DCHS/MHT/Hospitals Governance • District Partnerships • Patient Forums • Youth Forum • “It’s not the rules and regulations – it’s the way people work together” • How can we best engage and communicate?
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