Building Strong Partnerships to Improve Health – Mandy Chambers Head of Health Improvement NHS Derbyshire & Chair of Bolsover Partnership (BLSP)

 Context for Partnership Working  Benefits of Partnership Working  Features of Effective Partnerships  Health Partnership in Action  Impact of Reform & Re-organisation on Partnership Working Unpicking Partnership Working

Public Health Context - Social Model of Health

 Tackling Health Inequalities …. “Requires action across the social determinants of health and beyond the reach of the NHS” Marmot 2012 Strategic Context – Marmot Review

Partnerships between health and local authorities exist for:  Health Protection  Emergency Planning  Health Promotion  Health Improvement  Health Inequalities Health & Local Government Context

 Bolsover Partnership – Local Strategic Partnership (LSP) is a key mechanism  Commitment to addressing widespread inequality, including health inequalities  Integration of the complex factor which influence health throughout Bolsover Partnership Action Groups  Removal of barriers by demonstrating the value of sharing information, skills & resources Local Context - Partnership Working in Bolsover District

 Strategic Planning & Priority setting  Skills & Experience of Staff  Information & Evidence  Funding & Resources Benefits of Working In Partnership: Helping to get the best from -

Benefits of Working In Partnership Use of Resources  Achieve Shared Goals  Share Costs & Risks  Avoid Duplication & Waste  Combine Skills & Experience  Streamline systems Culture & Ethos  Create Shared Learning & Training  Encourage Innovation & Creativity  Build relationships for the future  Remove barriers

Better Experience & Outcomes for Service Users:  Joining up services  Advice & information at a single access point  Joining up referral processes  Signposting across services/agencies  Saving time & effort  Increased satisfaction Benefits of Working In Partnership

Relevant People Shared Information & Processes Clear Vision & Priorities Common Features of Strong Partnerships

Successful Partnerships TRUST COMMITMENT COMMUNICATION The Magic Ingredients !!!

 Make Use of Local Contacts  Be Part of Local Networks & Partnerships  Understand Partner Roles & Responsibilities  Make Partners Aware of the role of Environmental Health  Share Information & Organisational Plans  Identify Shared Priorities – ‘The Win-Win’  Communicate Often  Review Regularly & Monitor Outcomes  Celebrate Success! Building Strong Partnerships – Practical Steps

Health Partnerships in Action In Bolsover District Council & Bolsover Local Strategic Partnership

Health Partnership in Bolsover District Vision & Priorities

 Local Strategic Partnership (LSP) structures & systems used to share population level health data in a meaningful way  Increased awareness amongst partners of information available e.g. Public Health Observatories, Community Health Profiles  Using established networks to gather local information to enhance statistical data  Ensuring that priorities are informed by needs assessment Health Partnership in Bolsover District Sharing Information

Health Partnership in Bolsover District Sharing Information - Example

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Health Partnership in Bolsover District Sharing Information  In Practice what information can be shared?  Distinguish Population & Personal  Data Protection & Confidentiality  Information Sharing Protocols  Information Sharing with Consent  Using referral processes to overcome difficulties, where appropriate

 Affordable Warmth Initiative - Tackling Excess Winter Deaths  Food Hygiene Advice & Training - Reducing A&E visits for D&V*  Grot to Green - Improvements to Local Environment ‘By Communities For Communities’  Supporting Older & Vulnerable People at Home - Reducing unplanned hospital admissions  Food Partnership – Promoting & Enabling Healthy Eating  Green Doctor – Working with GPs to Reduce CO Emissions Health Partnerships in Bolsover District Some Examples

 Links up key partners, e.g. primary care  Uses information & evidence to inform priorities & actions  Raises awareness of Fuel Poverty issues & solutions throughout local community  Co-0rdinates referral process for vulnerable people  Delivers training & briefings for all Partners  Produces targeted materials, e.g. support hospital discharge Affordable Warmth Initiative

 Make Use of Local Contacts  Be Part of Local Networks & Partnerships  Understand Partner Roles & Responsibilities  Make Partners Aware of the Role of Environmental Health  Share Information & Organisational Plans  Identify Shared Priorities – ‘The Win-Win’  Communicate Often  Review Regularly  Celebrate Success! Building Strong Partnerships – Practical Steps

 Presents opportunities as well as threats  Chance to strengthen Public Health awareness & advocacy within the democratic process  Potential to develop Public Heath skills and capacity across wider Local Authority workforce  Specific challenges for areas with a two tier structure  Important to maintain relationships with the emerging health commissioning organisations Impact of Reform & Re-organisation on Partnerships

 Strong Partnership working uses resources more efficiently, therefore when things are more challenging & uncertain it is essential that working together remains a priority, ‘Necessity is the mother of invention’ (ascribed to Plato )  By working together & sharing our resources we can achieve more than if we work alone The Future – Moving Forward Partnership