Policy and Partnerships Network 11 Dec 2013 Hertfordshire Health and Wellbeing Board update Wendy Tooke, Health and Wellbeing Board Manager

Aims… Recap on the Health and Wellbeing Board Recap on the strategy Summary of Health Integration Discuss future approach on joining up communications

Hertfordshire’s Health & Wellbeing Board Statutory requirement of the Health and Social Care Act 2012 Joined-up working between NHS and local authority commissioners Membership includes: - Hertfordshire County Council (HCC) - Clinical Commissioning Groups (CCGs) - Public Health - Elected members - District representatives - Healthwatch In operation in shadow form since July 2011 “Live” since April 2013 What is the Health & Wellbeing Board?

Hertfordshire’s Health & Wellbeing Board Chairman: Cabinet Member for Health and Adult Care - County Cllr Colette Wyatt-Lowe Vice Chairman: Chair of East & North Herts Clinical Commissioning Group - Dr Tony Kostick Cabinet Member for Children's Services - County Cllr Richard Roberts Cabinet Member - Public Health & Localism - County Cllr Teresa Heritage Mayor, Watford Borough Council - Cllr Dorothy Thornhill Leader, North Hertfordshire District Council - Cllr Lynda Needham Chair of Herts Valleys Clinical Commissioning Group - Dr Nicolas Small Chair of Healthwatch Hertfordshire - Sarah Wren Director (Hertfordshire & South Midlands) NHS England - Dr Jane Halpin Director of Children's Safeguarding and Specialist Services, Hertfordshire County Council - Jenny Coles Director of Health & Community Services, Hertfordshire County Council - Iain MacBeath Director of Public Health, Hertfordshire County Council - Jim McManus Accountable Officer, East & North Herts Clinical Commissioning Group - Lesley Watts Accountable Officer, Herts Valleys Clinical Commissioning Group - Nicola Bell

Hertfordshire’s Health & Wellbeing Board 4 Public meetings a year 4 development days for the Board Engagement events Next public meeting 10am on 28 March at Focolare Centre, Parkway, Welwyn Garden City

Hertfordshire’s Health & Wellbeing Board Developing understanding of local health & social needs Strategic influence over commissioning decisions across health & social care Forum for challenge, discussion and involvement To set out local health priorities To lead on development of Hertfordshire’s Health & Wellbeing Strategy Responsibilities of the Health & Wellbeing Board

Hertfordshire’s Health & Wellbeing Strategy “With all partners working together we aim to reduce health inequalities and improve the health and wellbeing of the people of Hertfordshire” Our Vision: Improve health & wellbeing Reduce health inequalities Address local needs together Outline the priorities

Strategy Development Hertfordshire’s Health & Wellbeing Strategy Priorities? Joint Strategic Needs Assessment (JSNA) – data on current and future health needs Addressing issues where only by working together can the biggest impact be made Public Consultation – What do you think is important? How successfully can the issue be addressed in practise? How many people are affected?

Strategy Priorities Healthy Living 1. Reducing the harm caused by alcohol 2. Reducing the harm from tobacco 3. Promoting a healthy weight and increasing physical activity Hertfordshire’s Health & Wellbeing Strategy

Strategy Priorities Promoting Independence 4. Fulfilling lives for people with learning 5. Living well with dementia 6. Enhancing quality of life for people with disabilities long term conditions Hertfordshire’s Health & Wellbeing Strategy

Strategy Priorities Flourishing Communities 7. Supporting carers to care 8. Helping all families to thrive 9. Improving mental health and emotional wellbeing Hertfordshire’s Health & Wellbeing Strategy

Measurements for success for each priority take into consideration: Early intervention The life course model Wider determinants of health Working together Joint responsibility

Hertfordshire’s Health & Wellbeing Strategy What next? The success of the HWb Strategy depends on successful implementation: Joined up working across all partners: the NHS, HCC, District councils, local organisations and local people Embedding priorities in policy and commissioning decisions Reviewing and evaluating progress Continued engagement to build on what works

Health Integration Sam's Story

Five things that health and social care integration is trying to achieve… Improving care for people in Hertfordshire Avoiding duplication Co-ordinating care around the service user Making the most of our money Keeping people independent wherever possible

Acute Bed HCT Community Services, e.g District Nursing Self Management Care Home Placement Commissioned Community Services, e.g homecare Universal services incl. carer support, and vol. sector Cost Independence HEALTH Independence Cost SOCIAL CARE We’re not that different…!

We already do a lot of integration? Joint commissioning arrangements since 2002 for: –Mental health –Learning disability –Drug and alcohol services –Community equipment services Jointly funded projects such as ‘HomeFirst’

“I felt I was looked after at home much better than I would have been in hospital where I feel they wouldn’t have had time for me” “Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future.” “I can’t praise them enough to be honest” HomeFirst

HomeFirst an example…

Future Plan £4m to support integration in 2014/15 £40m pooled arrangements from 2015/16 Integration: – Financial – Organisational – Cultural

Future Plan 4 engagement events February 2014 Development of plan Integration Transformation Fund (ITF) plan sign off at Health and Wellbeing Board March 2014 Pooled arrangements from 2015

Summary… Recap on the Health and Wellbeing Board Recap on the Strategy Summary of Health Integration Discuss future approach on joining up communications

thank you