Norfolk’s Shadow Health

and Wellbeing Board

& Clinical Commissioning Groups

25 April 2012

Intro - the NHS Reforms

• Health and Wellbeing Boards• Clinical Commissioning Groups• Health Watch• Scrutiny• Public Health transfer• Integration of health and social care

Changes in the NHS in Norfolk

• Five new Clinical Commissioning Groups with £1.2bn budget (spend on healthcare) and subject to authorisation

• One new NHS Commissioning Board (with local offices) with budget for primary care and specialised services

• One new Commissioning Support Service, subject to authorisation

• One new Local Healthwatch – consumer voice• Public Health responsibilities

What’s staying the same

• GP as main gateway into NHS• Commitment to health and social care join

up for commissioning and provision• Commissioner and provider split – with

Foundation Trust as the NHS provider model and other Qualified Providers

A map of Norfolk CCGs

Role of Health & Wellbeing Boards

• Providing local systems leadership across health, social care and public health

• Convening role in health improvement – tackling the causes of ill-health

• Improving health and social care services • Promoting integration of health and social

care

H&WBs Development

• Legislation now in place

• Informal, pre-shadow year – 2011

• Now in Shadow year – 2012-13 • H&WBs formally come into effect -

April 2013

What have we been doingin Norfolk?

First year ‘pre-shadow’ phase: • Understanding function to determine

form• Workshop style • Scenario testing: mental health;

homelessness; obesity; smoking• Task & Finish - Tobacco control

What have we been doingin Norfolk?...2

Now in our Shadow Year:

• Terms of Reference agreed

• Initial membership agreed

• Aim - to ensure manageable size committee whilst retaining broad engagement

LGC Award presentation 25 January 2012

Identify dependencies

Broker and drive integration

Test, challenge commissioning

Convene all commissioners

Health and Wellbeing Board

Collective priorities for:

Norfolk Citizens

patients and service users

Context Challenges

What the Board will do

Task and finish hot topics

Broker solutions

JSNA

Diminishing resources

Rising expectationsand demands

Policy drivers

Localism

Influence,not authority

Sub-structures

Doing, rather thancommentating

Identifying criticalissues for

collective action

Balance betweenwellbeing and

health care

Evidence, best practice, patient and citizen views and experience

Hold each other to account

Membership

• Norfolk County Council Leader*

• Cabinet Members - Children and for Community

• Director of Public Health*

• NCC Chief Executive

• Directors of Children’s Services and of Community Services*

• Chair of LINKs*

Membership…2• Representative from each CCG*

• All 7 District/City/Borough Councils

• Chief Exec – NHS Norfolk and Waveney

• Chair – NHS Norfolk and Waveney

• NHS Commissioning Board - tbd

• Three representatives from the voluntary and third sector

• Rep from Norfolk Police

Norfolk’s Shadow Health & Wellbeing Board…1

• Held first meeting – 18 April 2012

• ‘Transition’ year – to formal C’ttee

• Operating Context = emerging commissioning priorities (CCGs & wider health improvement) plus emerging ‘architecture’

Joint Health & Wellbeing Strategy & JSNA

• Joint H&WB Strategy and Joint Strategic Needs Assessment (JSNA) - approach agreed

• Building on partners working plans, building from localities

• Assess & constructively challenge• By 2013 – able to answer key questions

Voluntary & 3rd Sector Representation

• Process to identify appropriate representatives

• Led by CEXs Vol Norfolk/West Norfolk VCA

• Joint Health, Social Care and Voluntary Sector Strategic Forum – proposal agreed

Voluntary & 3rd Sector Representation…2

• Clear routes for accountability back to the Forum

• Providing a voice and link/not rep individual orgs

• Critical role in cascading back – inc via Vol Sector Engagement Project

A Local Healthwatch for Norfolk

• From April 2013

• Building on existing LINks activity as the voice of the patient

• Extensive consultation with stakeholders

A Local Healthwatch for Norfolk…2

• Partnership based Pathfinder project – LGA/ACEVO

• Mar to June – setting out what we want from Healthwatch Norfolk

• July – agree who is going to deliver it• Oct – Shadow local Healthwatch

starts

What next for the Health & Wellbeing Board?

• Next meeting - 18th July 2012

• H&WB Strategy and emerging CCG priorities

• Building and fostering sound working relationships

• Working through the challenges

What next for the Health & Wellbeing Board?

• Develop Joint Health & Wellbeing Strategy

• Contribute to CCG authorisation

• Establish an overview of the system

• Work through relationships

• Establish locality working

• Develop engagement mechanisms