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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


  1. Derbyshire County Council Health and Wellbeing Stakeholder Engagement Forum 13 September 2011

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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)

  10. Partnership Structure Derbyshire County Council

  11. 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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