1. Opportunities and threats for LAs and their services Alyson Morley Senior Adviser (Health Transformation) www.local.gov.uk

2. Summary Opportunities Threats Role of district councils Current support for public health transition LGA’s future support offer to system leaders

3. Why local government? “Differences in access to health care matter, as do differences in lifestyle, but the key determinants of social inequalities in health lie in the circumstances in which people are born, grow, live, work and age” Professor Sir Michael Marmot Fair Society, Healthy Lives 2010

4. Opportunities Focus on health, not just treating sickness Whole population, place-based focus and strategic overview of needs and resources Wider determinants of health Stronger local political and clinical leadership of health agenda Community engagement and voice of the ‘patient’ Integrated plans and commissioning Localism – needs, plans, action

5. Contribution of district councils Closer to local people and customers – vital input to JSNA and communications on health reforms Provider/commissioners of key services – housing, leisure, planning, environmental health etc and employers Closer correlation with clinical commissioning groups – possibly District councils are already engaged and committed to health and wellbeing – they have a strong base on which to build

6. Threats to all councils Commitment – are LAs up for the challenge? Capacity – are LAs up to the challenge? Maintaining stability in transition Will HWBs be effective? Will CCGs engage with HWBs? Centralising tendencies of Public Health England, NHS Commissioning Board and Care Quality Commission Resources – PH and Healthwatch funding Will systems, priorities and services change?

7. Making health reforms work at district level Working with county HWB –Contribution to joint strategic needs assessment –Contribution to joint health and wellbeing strategy –Public health presence at district level Working with other districts Working with CCG Working with Healthwatch Role of Leader and Portfolio holder for health and wellbeing

9. Current support for health reform – Health and wellbeing boards Principles of support offer available at national and regional level 1.Alignment with other activities 2.No duplication – builds on existing regional activity and adds value 3.Making a difference – support is action and outcome focused 4.Sustainability – building in future needs and support

10. National support for HWBs leadership HWB leadership support offer National HWB development tool – to help evaluate progress Knowledge Hub on HWBs – currently hosted by DH with 900+ members. Open to anyone: https://knowledgehub.local.gov.uk/. https://knowledgehub.local.gov.uk/ Disseminating evaluation and learning Regional Simulation events Chairs’ networks Other activities Bespoke support Joint activity with NHS Leadership Academy to provide support to 75 HWBs Contact lorna.shaw@local.gov.uk for more informationlorna.shaw@local.gov.uk

11. National support – Healthwatch Local Healthwatch will be the consumer champion for public health, as well as health and social care services Crucial to have the patient and public voice in public health planning and provision Healthwatch is ‘lagging behind’ development of other partners – we need to keep a space for them National support programme in place

12. National support – public health JSNA guidance, principles and case studies From transition to transformation web resource National events on specific public health issues LGA annual public health conference – January 2013

13. Future sector-led support LGA Inform –Web-resource to benchmark with other councils –Capacity/demand for public health information System-wide peer challenge – Across all domains of the health reform agenda –With key partners –Demand from health systems –Testing the approach with all system leaders

14. Next steps What do you want LGA and other national organisations to provide? What is your current experience of support? What needs to improve? alyson.morley@local.gov.uk