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A health and wellbeing board for Leicestershire

Cllr Ernie White and Cheryl Davenport, Leicestershire County Council, explain their approach to setting up a health and wellbeing board for Leicestershire and outline some of the issues they encountered.

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A health and wellbeing board for Leicestershire

  1. 1. A Health and Wellbeing Board for Leicestershire Mr E. F. White, CC Chairman of the Shadow Health and Wellbeing Board Cheryl Davenport Programme Director, Health Transition PCT Cluster/Leics County Council
  2. 2. Introduction from the Chair of Leicestershire’s Shadow Board <ul><li>Track record as high performing council </li></ul><ul><li>Members welcomed a greater role for the council in Health and Wellbeing </li></ul><ul><li>Chair: </li></ul><ul><ul><li>background in the health sector </li></ul></ul><ul><ul><li>a strong personal commitment to improving outcomes in partnership </li></ul></ul><ul><li>Early decision: </li></ul><ul><ul><li>Director of Public Health to report directly to LA Chief Executive </li></ul></ul>
  3. 3. Key components of our approach <ul><li>Mandate for the work, role of our Joint Change Programme Board, programme director assigned early </li></ul><ul><li>Composition of programme team, expertise and resources for implementation </li></ul><ul><li>Early engagement of emerging GP consortia </li></ul><ul><li>Understanding the governance milestones, constraints and dependencies across the council and the PCT </li></ul>
  4. 4. Key components of our approach (cont.) <ul><li>Stakeholder mapping, HWB implementation engagement plan, development of core stakeholder products </li></ul><ul><li>Timing of specific communications and media handling </li></ul><ul><li>Understanding partnership structures alongside and beneath the Board </li></ul><ul><li>Relationship building with DH and other early implementers </li></ul>
  5. 5. Some of the issues <ul><li>Shadow vs. Statutory </li></ul><ul><li>Membership and balance of the Board </li></ul><ul><li>Implications of the pause </li></ul><ul><li>Adding value, not duplicating </li></ul><ul><li>Identifying early wins and longer range work </li></ul><ul><li>The need for a comprehensive, resource intensive stakeholder engagement plan </li></ul>
  6. 6. Some of the issues (cont.) <ul><li>Differences in organisational requirements and style </li></ul><ul><li>Mixed Board membership/audience </li></ul><ul><li>Clarity on relationships with other groups </li></ul><ul><li>Executive/officer support to the Board </li></ul><ul><li>What next for scrutiny? </li></ul><ul><li>Accountability in new structures – see The King’s Fund report </li></ul>
  7. 7. Who is on the Shadow Board? <ul><li>Cabinet Lead Members for: </li></ul><ul><ul><li>Health (Chair) </li></ul></ul><ul><ul><li>Adults and Communities </li></ul></ul><ul><ul><li>Children and Young People </li></ul></ul><ul><li>Two representatives of each of the Clinical Commissioning Groups (GP consortia) within the local authority area </li></ul><ul><li>Directors of: </li></ul><ul><ul><li>Public Health </li></ul></ul><ul><ul><li>Adults and Communities </li></ul></ul><ul><ul><li>Children and Young People </li></ul></ul>
  8. 8. Who is on the Shadow Board? (cont.) <ul><li>Two LINk representatives (Local Health Watch, when established) </li></ul><ul><li>The Chief Executive of the PCT Cluster (NHS Commissioning Board, when established) </li></ul><ul><li>Two District Council representatives </li></ul><ul><li>One Local Medical Committee representative </li></ul>
  9. 9. Relationship building with GPs <ul><li>February: </li></ul><ul><li>Introductory meetings for the LMC, GP Consortia, the Council </li></ul><ul><li>March – May: </li></ul><ul><li>GP Consortia leaders, operating managers and their wider teams join transitional work and governance arrangements at an early stage e.g. </li></ul><ul><ul><li>HWB implementation </li></ul></ul><ul><ul><li>Development of joint commissioning </li></ul></ul><ul><ul><li>HealthWatch pathfinder </li></ul></ul>
  10. 10. Relationship building with GPs (cont.) <ul><li>June/July: </li></ul><ul><li>Development sessions for GP consortia on: </li></ul><ul><li>The role of local government </li></ul><ul><li>Working with members </li></ul><ul><li>The council’s 2011/12 business plan </li></ul><ul><li>Safeguarding </li></ul><ul><li>Joint Commissioning priorities – e.g. Dementia </li></ul>
  11. 11. Relationships with other primary care professionals <ul><li>Specific HWB briefings for other professional groups (LPC, LDC, LOC) </li></ul><ul><li>Introductory meetings with the council: </li></ul><ul><ul><li>How oral health needs, eye health needs and the pharmaceutical needs assessment can be better integrated with the JSNA </li></ul></ul><ul><ul><li>How the HWB can access the advice and expertise of other primary care professionals </li></ul></ul>
  12. 12. Relationships: system level <ul><li>Development sessions for Joint Change Programme Board and Health and Wellbeing Board </li></ul><ul><ul><li>Building relationships and trust, understanding roles and expertise </li></ul></ul><ul><ul><li>Sharing perspectives on what the “end state” will look like post 2013, different expectations and risks </li></ul></ul><ul><ul><li>Articulating what we wanted the HWB to achieve and what we wanted it to avoid </li></ul></ul><ul><ul><li>How to define and tackle wicked issues at system level and add public value </li></ul></ul>
  13. 13. System level themes <ul><ul><li>4 key themes have emerged as the focus for our system level work: </li></ul></ul><ul><ul><ul><li>Improving health outcomes </li></ul></ul></ul><ul><ul><ul><li>Improving service integration </li></ul></ul></ul><ul><ul><ul><li>Improving efficiency and balancing the economy </li></ul></ul></ul><ul><ul><ul><li>Organisational transition </li></ul></ul></ul><ul><li>The Shadow Board has developed 8 strategic priorities under themes 1-3, based on existing JSNA evidence and strategic priorities of partners </li></ul><ul><li>Organisational Transition – Transition Steering Group </li></ul>
  14. 14. Shadow HWB – 8 Priorities <ul><li>These 8 will form the initial focus and workplan of </li></ul><ul><li>the Board: </li></ul><ul><li>Increasing life expectancy and reducing inequalities </li></ul><ul><li>Reducing the prevalence of smoking </li></ul><ul><li>Reducing the harm caused by alcohol and drugs </li></ul><ul><li>Reducing the prevalence of obesity and physical inactivity </li></ul>
  15. 15. Shadow HWB – 8 Priorities (cont.) <ul><li>Improving the care of older people with complex needs and enabling more older people to live independently </li></ul><ul><li>Improving the care of adults and children with complex needs and their carers, including those with: </li></ul><ul><ul><li>Mental health needs </li></ul></ul><ul><ul><li>Complex disability needs </li></ul></ul><ul><li>7. Shifting investment to prevention and early intervention </li></ul><ul><li>8. Making urgent care systems for adults and children work </li></ul>
  16. 16. Substructures and communications <ul><li>Outline substructure developed with input from: </li></ul><ul><ul><li>Children Board event – April </li></ul></ul><ul><ul><li>HWB event – May </li></ul></ul><ul><ul><li>LSP event – June </li></ul></ul><ul><ul><li>JSNA event – July </li></ul></ul><ul><li>Key message – willingness and opportunities to do things differently in new system and use different channels and mechanisms than before </li></ul><ul><li>HWB communications and engagement plan now in development </li></ul>
  17. 17. For further information: visit our home page <ul><li> </li></ul><ul><li>TORs </li></ul><ul><li>Presentations </li></ul><ul><li>Stakeholder briefings </li></ul><ul><li>Press info </li></ul><ul><li>FAQs </li></ul><ul><li>HWB meeting dates, agenda, papers </li></ul><ul><li>Copy of the HWB's response to the pause </li></ul><ul><li>Copy of our HealthWatch pathfinder application </li></ul>