1. Health and Wellbeing Boards and Clinical Commissioning Groups: opportunities for achieving integrated health and care services Dr Jane Povey, Director of Clinical Engagement, Commissioning Development, DH 10 h November 2011

2. Principles of Clinical Commissioning Patient Centred (population) Clinically Led Patient Outcome Focus

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4. Professional Engagement Purpose: To engage the range of professionals in distributed leadership in order to drive the improvement of patient outcomes through commissioning. – In commissioning system: design of commissioning plans – In wider health and social care community: implementation of commissioning plans

5. Professionalism Traditionally Responsibility to provide good care for our own patients The Future 1.Responsibility to our own patients to give consistently high quality care 2.Collective responsibility, in shared leadership with managers, to be actively involved in continually improving the health outcomes for the population served within available resource Within organisation Within local health economy

6. Inclusive: Medical/Non-Medical Primary/Community/Secon dary Health/Social Care Public Health NHSCB/CCGs/CS Provider Organisations/Teams Other Agencies e.g. Education “LETB’s” Royal Colleges

7. How? Dialogue : clear, responsive, 2 way within commissioning system and between commissioning system and wider clinical community, rapid cycles of iterative development Involvement : – Commissioning structures, processes, culture and behaviour to be shaped by clinical leads and also grass roots clinicians where they add value and can have impact – Involvement in decision making processes Make it do-able : development, time/other resource/support, clear focus on where clinicians add value to improve patient outcomes, commissioning enables, commissioning support

8. To sum up………. Relationships Engagement Leadership Problem solving across organisational boundaries Accounting to the population served

9. A Question….. How do we, across Health and Social Care, work with the public and local politicians work together through shared distributed leadership between organisations to improve the health and healthcare of our population?

10. A Challenge….. Examples of where H&WBs have improved patient outcomes through integration. How is this being shared ?