1. The voluntary sector and health and well-being outcomes April 2013 Claire Collen, Voluntary Sector Engagement Manager

2. Voluntary Sector Engagement Project Hosted by Voluntary Norfolk; funded by Norfolk’s Health & Wellbeing Board Focus - involvement of VCS in the health and wellbeing agenda (changing structures/landscape) ensure effective routes to inform decision-making on priorities and plans (Health and Wellbeing Board, Norfolk Public Health, Clinical Commissioning Groups) Key Activities Information and communication e.g. e-Briefings; feedback to VCS networks & forums; Capacity building e.g. procurement training; advice & support to smaller organisations; service directory (NCC/NHS); Strategic voice & advocacy dialogue and representation with public sector (NCC/CCGs/Public Health) e.g. support 3 VCS reps to HWB ; work on cross- cutting issues - impact of welfare reform; research (mental health, substance misuse) 2

3. Overview of current Landscape (April 2013) Under Health & Social Care Act 2012 Abolition of Norfolk’s Primary Care Trust Creation of national NHS Commissioning Board (NHS England Board) Creation of local Clinical Commissioning Groups (x5) Creation of NHS Norfolk & Waveney Commissioning Support Unit Transfer of Public Health from NHS Norfolk to Norfolk County Council Creation of Norfolk Health & Wellbeing Board Abolition of LINks; Creation of HealthWatch 3

4. Norwich www.norwichccg.nhs.uk/ North Norfolk www.northnorfolkccg.nhs.uk/ South Norfolkwww.southnorfolkccg.nhs.uk/www.southnorfolkccg.nhs.uk/ West Norfolkwww.westnorfolkccg.nhs.uk/www.westnorfolkccg.nhs.uk/ HealthEast (Great Yarmouth & Waveney) www.gywpct.nhs.ukwww.gywpct.nhs.uk 4

5. What’s the voluntary sector’s offer? Understanding the needs of service users and communities that the public sector needs to address Closeness to the people that the public sector wants to reach Ability to deliver outcomes that public sector finds it hard to deliver on its own Innovation in developing solutions Performance in delivering services (value for money through added value) ( National Audit Office, 2007 Hearts & Minds, Commissioning from the Voluntary Sector) 5

6. Intelligence and analysis of need Source of intelligence about local populations Help to identify unmet need Bring together voices from range of communities Support marginalised groups to express their voices in needs assessment and consultation process Information about unmet need e.g. people experiencing sexual violence Signposting, collating and presenting diverse views

7. Service design Developing and defining pathways Working with partners on difficult issues Removing barriers to take up of preventative services Enabling patients, public and communities of interest to influence service design Market stimulation and supply chain development Mapping current provision & analysis of gaps

8. Prevention and early intervention Health and wellbeing activity Interventions targeted at specific groups Support for primary and secondary care and specialised services Community support services e.g. transport Delivery Reducing re- admissions

9. Informs future commissioning and service design Support commissioners to review existing provision Informs future commissioning and service design Scrutiny Role Review

10. Examples in practice – Voluntary Norfolk Volunteering - 8,850 potential volunteers contacted last year Specific health/social care volunteering – Community Volunteer Coordinators – Gorleston Community Advocates – Volunteer Health Champions (South Norfolk) Administer small grant schemes for HealthEast 10

11. Examples in practice – elsewhere Rotherham Social Prescribing Service – l/t conditions – 5 VCS Advisors GP Integrated Teams – ‘sign-posting’ packs for GP Practices – VCS Advisors (‘walking data bases’) visit individual; refer to relevant VCOs – Grant funding for smaller VCOs – 2-year pilot funded through NHS Rotherham www.varotherham.org.uk/social-prescribing-service Stroke Association Supports 55,000 stroke survivors and their families each year through Information & Advice, Support to Carers, Re- ablement and social inclusion, Stroke clubs, Stroke prevention http://www.stroke.org.uk/ http://www.stroke.org.uk/ 11

12. Examples in practice – elsewhere Community Health Maps - Bradford Health Partnership Online directory due for launch during April 2013. Themed topics & searched through clicking on local district map – Maternity (From Bump to Babies) – Leaving hospital – Safe & Supported – Isolation – Mental Health – Domestic Violence – Long-term Conditions – Transport – Weight Loss and Exercise Money, Housing and Legal http://health-partnership.org.uk/hp/directories/ 12

13. North Norfolk........ 13

14. Raising your profile – hints & tips Who do you want to develop a relationship with? (CCG Pathway specialist? Public Health lead? District Council officer? ) Collaborate and co-operate with other organisations. (Networks, forums.) Demonstrate the difference - numbers of users, cost, waiting list Prepare the ground – what are your messages? Who are you targeting? Research local priorities Develop your ‘pitch’ (30 seconds; 5 mins) Summarise your points 1 side A4 Are you listed in current service directories e.g. Heron? (Watch out for new directory opportunities.) Linked in to Voluntary Sector Engagement Project? 14

15. Hints & tips for commissioners Consider most appropriate way to make best use of the VCO ‘offer’ Don’t ham-string with swathes of bureaucracy and lengthy procurement processes Consider the alternatives – the ‘obvious’ candidate; grant-funding (conditions) Meet smaller orgs where they are – their smallness is what makes them different and can sometimes be what you need to tackle perennial problems. 15

16. Thank you More information: claire.collen@voluntarynorfolk.org.uk T: 01603 883840 http://www.voluntarynorfolk.org.uk/voluntary- sector-engagement-project 16

17. Clinical Commissioning Groups Groups of GP Practices who have been ‘authorised’ by DoH to meet the medical and clinical needs of local people (through both primary and hospital-based services). Responsibilities include: Planning (commissioning) services based on assessing needs of local population Securing services (purchasing) to meet those needs Monitoring the quality of care provided Requirements: Promote integrated care Membership of HWB board Work collaboratively with Public Health & NHS Commissioning Board 17

18. Norfolk Health & Wellbeing Board statutory body duty to have overview of health and well-being needs and gaps develop a high-level strategy based on local priorities (Joint Strategic Needs Analysis) ‘holds the ring’ of public health, ccg & social care related activity (ToR include being a ‘driver for integration’) c. 26 members including 3 VCS places (not a commissioning body, but priorities should inform commissioning by others) 18

19. Norfolk Public Health Improve heath of local people by provision of Advice & information Services & facilities to promote healthy living & for prevention, diagnosis or treatment of illness Protect local population from heath threats (emergencies, immunisation, screening) Provide CCGs with population health advice Underpinning principles Increasing healthy life expectancy Reducing differences in life expectancy and healthy life expectancy between communities improving the wider determinants of health 19