Joint Health and Wellbeing Unit Joint Health and Wellbeing Unit Elisabeth Smart 27 February dghealthandwellbeing

Population Pyramids for Scotland and Dumfries & Galloway, 2008

Percentage change in population in Dumfries & Galloway and Scotland, (2008-based projections)

Dg health and wellbeing Drivers improve efficiency tackle health inequalities improve health Policy context – Equally Well - SOA/GIRFEC - Change Fund

Crichton Hall

Dg health and wellbeing Agreement in May 2010 by both the LA and NHS Consultation (>70) Key Features DPH as head Accountable to the strategic partnership Lifecourse approach and all staff moving to generalist jds

Dg health and wellbeing Strategic and commissioning function Operational function to the four localities Combined budgets Staff remain on existing T&Cs Alignment to SOA, GIRFEC

DG Health and wellbeing org chart

DGHW Plans Mix of drivers Existing work New work SOA GIRFEC Change Fund Need for Performance Indicators Plans agreed Dec Actions will be the responsibility of a named team member to take forward in partnership and consultation with key stakeholders For commissioned work a named individual in the team will be responsible for monitoring progress of work and assessing against quality standards

Children’s and Young People’s Team Team comprises of: Lead Consultant 1 Council staff 3 NHS staff

Children and Young People’s Team Outcome 1 Children enter primary school with optimum levels of health and wellbeing Outcome 2 Children enter secondary school with optimum levels of health and wellbeing Outcome 3 Young people enter adulthood with optimum levels of health and wellbeing High level outcome Children and young people enter adulthood with optimum levels of health and wellbeing

Adults and Older People Team Team comprises of: Lead Consultant 2 Council staff 4 NHS staff

Adults and Older People Themes Workplace Mental Health and Wellbeing Healthy Living Community Resilience Sustaining the environment

Branding and name 3 sets of artwork Considerable consultation Name: D&G health and wellbeing Strapline: dghealthforlife Website: Brand dghealthandwellbeing

Finance NHS staff costs NHS various: incl. BHC; HWL Council staff costs Council various: incl. schools budget; Choose Life; HWC Non pay/recurrent from council £255K Non pay/non recurrent £289K

DG Health and wellbeing - overview Positives Good partnership working Clear targeting of resources Plan well received Able to utilise other resources Not so great ‘wicked problems’ and under pressure to deliver NOW Reporting 2 lots of T&Cs Cost efficiencies Finance

Dg health and wellbeing – current situation Still working through the commissioning model Corporate branding – difficult Plan – too many indicators – move to covalent Balance of regional vs local resources Funding – just difficult Reporting

What does the future hold? Health inequalities won’t disappear Wicked health problems remain – eg alcohol consumption; maintaining a healthy weight, breast feeding rates low SG policy encouraging an assets based model Cost efficiencies won’t disappear Expectation of increased joint working and shared budgets (Change Fund)

Any questions? dghealthforlife