1. Health Overview Policy and Scrutiny Panel Update on Health Reform Proposals James Foster North Somerset Council

2. Areas to cover  Overview of key themes of health reforms  Health structures in North Somerset - Recent history  Role for local authority in health and wellbeing  Key areas of work for the next two years

3. Areas to cover  Overview of key themes of health reforms  Health structures in North Somerset - Recent history  Role for local authority in health and wellbeing  Key areas of work for the next two years

4. Key Health and Social Care Documents  NHS : Equity and Excellence : Liberating the NHS (July 2010)  Public Health : Healthy Lives, Healthy People (November 2010)  Social Care : A vision for adult social care : (November 2010)

5. Summary of policy “visions” NHS : Equity & Excellence  Put Patients First  Improve Healthcare outcomes  Autonomy, accountability, democratic legitimacy Public Health Healthy Lives, Healthy People “Improve & protect the nation’s health and improve the health of the poorest, fastest”. Social Care : Capable Communities, Active Citizens Personalised, Preventative, Focussed on transparency, outcomes & quality

6. Key Themes Across Health Policy Putting Patients First and listening to the patients/carers voice, greater choice and control. “No decision about me, without me” (NHS White Paper) Personalisation of social care New Healthwatch England : independent consumer champion Focus on wider determinants of health A recognition that improving health and wellbeing is not just about delivering NHS services better, it is about developing a local focus on public health across all sectors. eg Public Health move into local authority with ring-fenced budget to lead on improving health and wellbeing from within the Local Authority

7. Areas to cover  Overview of key themes of health reforms  Health structures in North Somerset - Recent history  Role for local authority in health and wellbeing  Key areas of work for the next two years

8. Health structures in North Somerset Recent history

9. Areas to cover  Overview of key themes of health reforms  Health structures in North Somerset - Recent history  Role for local authority in health and wellbeing  Key areas of work for the next two years

10. Enhanced role of Local Authority in Health and Wellbeing  Lead on “promoting” a joined up approach to health and wellbeing locally, via the JSNA and related health and wellbeing strategy.  Lead on encouraging more joined up commissioning across health and social care, with key roles in adult social care and children’s services.  Lead on health overview and scrutiny function.  Lead on health improvement and prevention activity with Public Health and Director of Public Health having a central role.

11.  Key role in engaging with and involving GP Consortia in the local Health and Wellbeing agenda eg involvement with the Health and Wellbeing Board, the coordination of commissioning between Local Authority and GP Consortia.  Commissioning the local HealthWatch service and ensuring that the organisation is working effectively to engage with patients and carers. Ensure that views of patient and carers are an integral part of local commissioning. Enhanced role of Local Authority in Health and Wellbeing

12.  A particularly key role in ensuring that commissioning for the health and wellbeing and safeguarding of children is central to all children’s service across the area, including ensuring effective partnership working.  Leading and coordinating the new Health and Wellbeing Board, and any related sub-groups, to ensure that all the elements of the local health and wellbeing strategy are driven forward, and challenges are identified and solutions found.

13. Overview of new Health and Wellbeing Boards  Health and Social Care Bill requires the establishment of a health and wellbeing board in every upper tier authority by April 2013  Core membership must include GP consortia, Director of Social Services, Director of Children’s Services, Director of Public Health, representative from local HealthWatch, at least one local elected representative.  Core purpose is to join up commissioning across NHS, social care, public health, children’s services and other services that the Board agrees have an impact on health eg leisure, housing.

14. Overview of new Health and Wellbeing Boards Mechanisms for achieving aims  Joint Strategic Needs Assessment  New Joint Health and Wellbeing Strategy  Joint commissioning and pooled budgets  Linking to local Outcomes Framework (across NHS, Public Health,Social Care)

15. Areas to cover  Overview of key themes of health reforms  Health structures in North Somerset - Recent history  enhanced role for local authority in health and wellbeing  Key areas of work for the next two years

16. Key Areas of work for the next two years  Supporting transition to new GP Commissioning Consortia arrangements, and building new relationships  Reviewing Governance arrangements and agreeing format of new Health and Wellbeing Board  Supporting the development of Healthwatch  Explore options for future for joint provision of services as well as commissioning  Supporting the transition of the public health function into the Local Authority  Shaping/influencing the new model for acute/specialist service provision for North Somerset

18. Health Overview Policy and Scrutiny Panel Update on Health Reform Proposals James Foster North Somerset Council