Health Overview Policy and Scrutiny Panel Update on Health Reform Proposals

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Health Overview Policy and Scrutiny Panel
Update on Health Reform Proposals

• James Foster
• North Somerset Council

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Areas to cover

• Overview of key themes of health reforms
• Health structures in North Somerset - Recent
  history
• Role for local authority in health and wellbeing
• Key areas of work for the next two years

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Areas to cover

• Overview of key themes of health reforms
• Health structures in North Somerset - Recent
  history
• Role for local authority in health and wellbeing
• Key areas of work for the next two years

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Key Health and Social Care Documents

• NHS Equity and Excellence Liberating the
  NHS
• (July 2010)
• Public Health Healthy Lives, Healthy People
• (November 2010)
• Social Care A vision for adult social care
• (November 2010)

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Summary of policy visions

• NHS Equity Excellence
• Put Patients First
• Improve Healthcare outcomes
• Autonomy, accountability, democratic legitimacy

• Public Health
• Healthy Lives, Healthy People
• Improve protect the nations health and
  improve the health of the poorest, fastest.

Social Care Capable Communities, Active
Citizens Personalised, Preventative, Focussed on
transparency, outcomes quality
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Key Themes Across Health Policy

• Putting Patients First and listening to the
  patients/carers voice, greater choice and
  control.
• No decision about me, without me (NHS White
  Paper)
• Personalisation of social care
• New Healthwatch England independent consumer
  champion
• Focus on wider determinants of health
• A recognition that improving health and
  wellbeing is not just about delivering NHS
  services better, it is about developing a local
  focus on public health across all sectors.
• eg Public Health move into local authority with
  ring-fenced budget to lead on improving health
  and wellbeing from within the Local Authority

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Areas to cover

• Overview of key themes of health reforms
• Health structures in North Somerset - Recent
  history
• Role for local authority in health and wellbeing
• Key areas of work for the next two years

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Health structures in North Somerset Recent
history
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Areas to cover

• Overview of key themes of health reforms
• Health structures in North Somerset - Recent
  history
• Role for local authority in health and wellbeing
• Key areas of work for the next two years

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Enhanced role of Local Authority in Health and
Wellbeing

• Lead on promoting a joined up approach to
  health and wellbeing locally, via the JSNA and
  related health and wellbeing strategy.
• Lead on encouraging more joined up commissioning
  across health and social care, with key roles in
  adult social care and childrens services.
• Lead on health overview and scrutiny function.
• Lead on health improvement and prevention
  activity with Public Health and Director of
  Public Health having a central role.

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Enhanced role of Local Authority in Health and
Wellbeing

• Key role in engaging with and involving GP
  Consortia in the local Health and Wellbeing
  agenda eg involvement with the Health and
  Wellbeing Board, the coordination of
  commissioning between Local Authority and GP
  Consortia.
• Commissioning the local HealthWatch service and
  ensuring that the organisation is working
  effectively to engage with patients and carers.
  Ensure that views of patient and carers are an
  integral part of local commissioning.

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Enhanced role of Local Authority in Health and
Wellbeing

• A particularly key role in ensuring that
  commissioning for the health and wellbeing and
  safeguarding of children is central to all
  childrens service across the area, including
  ensuring effective partnership working.
• Leading and coordinating the new Health and
  Wellbeing Board, and any related sub-groups, to
  ensure that all the elements of the local health
  and wellbeing strategy are driven forward, and
  challenges are identified and solutions found.

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Overview of new Health and Wellbeing Boards

• Health and Social Care Bill requires the
  establishment of a health and wellbeing board in
  every upper tier authority by April 2013
• Core membership must include GP consortia,
  Director of Social Services, Director of
  Childrens Services, Director of Public Health,
  representative from local HealthWatch, at least
  one local elected representative.
• Core purpose is to join up commissioning across
  NHS, social care, public health, childrens
  services and other services that the Board agrees
  have an impact on health eg leisure, housing.

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Overview of new Health and Wellbeing Boards

• Mechanisms for achieving aims
• Joint Strategic Needs Assessment
• New Joint Health and Wellbeing Strategy
• Joint commissioning and pooled budgets
• Linking to local Outcomes Framework (across NHS,
  Public Health ,Social Care)

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Areas to cover

• Overview of key themes of health reforms
• Health structures in North Somerset - Recent
  history
• enhanced role for local authority in health and
  wellbeing
• Key areas of work for the next two years

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Key Areas of work for the nexttwo years

• Supporting transition to new GP Commissioning
  Consortia arrangements, and building new
  relationships
• Reviewing Governance arrangements and agreeing
  format of new Health and Wellbeing Board
• Supporting the development of Healthwatch
• Explore options for future for joint provision of
  services as well as commissioning
• Supporting the transition of the public health
  function into the Local Authority
• Shaping/influencing the new model for
  acute/specialist service provision for North
  Somerset

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Health Overview Policy and Scrutiny Panel
Update on Health Reform Proposals

• James Foster
• North Somerset Council