Mark Lobban Engaging Stakeholders in the New Joint Commissioning Arrangements for Children and Young People

Overview Health and Wellbeing Board Partnership arrangements Proposed joint commissioning framework Questions and discussion

Existing strategic partnership arrangements

Proposed strategic partnership arrangements (Review March 2012)

Health and Wellbeing Board The Health and Social Care Bill will require a health and wellbeing board in every upper tier local authority. Health and wellbeing boards will include elected representatives, local HealthWatch and key local commissioners for health and social care, including GP consortia and DsPH, adult social care and children’s services. Obligation for LA’s and GP consortia through health and wellbeing board to prepare the joint strategic needs assessment (JSNA) and develop a high-level "joint health and wellbeing strategy" (JHWS) that spans the NHS, social care, public health and could potentially consider wider health determinants such as housing, or education. Flexibility for health and wellbeing boards both between and within local authority areas. Some GP consortia boundaries may be coterminous with local authority areas, but others will not. “Whatever makes sense locally”. Health and wellbeing boards will provide a key forum for public accountability of NHS, public health, social care for adults and children and other commissioned services that are directly related to health and wellbeing.

Health and Wellbeing Board “We intend for them to become deep and productive partnerships that develop solutions to commissioning challenges. Collaboration must be the norm. We want elected representatives along with other key local stakeholders to be engaged in early conversations about how local services can best meet requirements”

Health and Wellbeing Board April 2012 ‘Shadow’ health and wellbeing boards, in every upper-tier authority April 2011 Hertfordshire early implementer with core membership 2012/13 Partnership without statutory powers and duties; but all boards will need to start preparation to: - carry out JSNAs, - develop JHWSs April 2013 GP consortia and LAs receive NHS commissioning and public health allocations Timetable

New Children’s Services Framework One Philosophy and Shared Direction Focus on shared outcomes for children not structures  Early intervention and targeted services  Specialist support at home and school  Care and education placements Strategic Commissioning Groups must span the new framework

Proposed joint commissioning framework HWB Board Children SCG Early Intervention & targeted services Specialist Support at home & school Care & Education Placements JCP Exec Intelligence from Schools; Users & Carers; Providers; Teams etc Stakeholder group Other SCGsStakeholder group Other partnerships Safeguarding Board People and partnerships achieve better outcomes at less cost not frameworks!

Agreement to: A specific Children’s SCG and 3 sub groups Hertfordshire Safeguarding Children Board represented with a dotted line to the HWB and Children’s SCG. Further exploration around schools as commissioners and engagement from Police and other key partners Seek views from the Voluntary Sector on arrangements and involvement Detail accountabilities of the Board and its subgroups ensuring appropriate delegation and decision making powers are in place HWB being in place from April 2011, with Children’s Commissioning groups formed by July HCTP 18 th January 2011

Questions and discussion What lessons can we take forward from HCTP on engaging stakeholders? What arrangements should be put in place for the Children’s Strategic Commissioning Group to engage with stakeholders?