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

National Performance manages all Spends about 20% of Local NHS Budget Secretary of State Department of Health National Commissioning Board & Public Health England Health and Wellbeing Board Clinical Commissioning Group Clinical Senate Local Authority Public Health Service SHA Childrens and Health Scrutiny Committee PCT Cluster Commissioning Support Vehicle

North

Local

Regional/Lancashire/ Local

Advises all on prevention & outcome delivery – spends about 5% (current) local NHS Budget

Scrutinises –especially HWB Supports the CCG to commission

Lancashire

Advises CCG Commissions Local NHS services Spends 75% of Local Budget Holds all to account for health improvement/outcome delivery Sets policy for all Is in charge of all Responsibility Institution Spatial Level Health-Watch Represents community to all

NHS and Local Government Health System

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

• 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 Shadow Health and Wellbeing Board: Vision & Purpose

BwD Vision 2030 Health and Wellbeing Strategy

NHS CCG Health Care Strategy Prosperous Safe Clean Connected Citizen

What is a Health and Wellbeing Strategy & what resources does the Health and Wellbeing Board have ?

Borough Council Education, Neighbourhoods, Housing, Enforcement, Policy, Finance, IT/ICT, HR/Legal, Regeneration, Adult Social Care, Leisure, BSF, Place

Voluntary Community & Faith Sectors

Clinical Commissioning Group

Elected Members Health- watch Voluntary Sector

Local Government Officers

BwD

Health & Wellbeing Board

Community members

Borough Council Executive Board

Childrens ,Health and Wellbeing Scrutiny Committee

Local Strategic Partnership

Blackburn with Darwen Shadow Health & Wellbeing Board

Phase 2: 2012-2013

NHS Commissioning Board

Can require action by Governance Population Health Groups

Children, Adults, 50+

Thematic Groups

Cancer, Dementia, etc

Working Groups Council Directorate Health Plans

Transport, Education, Housing, Environment, Economic development etc

Citizens Program

Social Marketing/Media

Annual Work Plan Outcome & Evaluation Reports to HWB

Performance Reports, Quality Data, ISNA , Public Health Report

Data Input

Health and Wellbeing Strategy

NHS CCG Borough Council Including Public Health Community, Voluntary & Faith Sector Public Health England NHS Commissioning Board

HWB Annual Report Reporting to & Scrutinised by

Engagement with & Accountability to Blackburn with Darwen Citizens

Health and Wellbeing Strategy

Specific, Integrated, Programme-managed Targeted Transformative Action

Give every child the best start in life. Give every child the best start in life.

Family

Promote good employment for all. Promote good employment for all.

Work

Make leisure healthy Make leisure healthy

Leisure

Improve the quality of homes Improve the quality of homes

Home

Support independence and social inclusion in old age. Support independence and social inclusion in old age.

Retirement

Public Sector

Voluntary community, faith sector Private Sector

Citizens

Child

Senior Adult

Housing Childrens Services

Education schools

Primary Care

Community & Self help Secondary Care (Hospital) 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),

High Street pharmacy

Big + Integrated+ Strategic + Transformational Change

HWB Action Plan

Causal Pathway & Solution Delivery Chain NHS Investment Now

Future Chronic Disease Management Investment How might the Health and Wellbeing Board need to Governance Health Outcomes : Example Asthma

Voluntary sector Accelerated Delivery Plan : Asthma Outcomes (to reduce incidence, prevalence, hospital admissions)