Health & Well-being Boards in Derby City & Derbyshire Derek Ward – Director of Public Health, Derby City Cath Roff, Strategic Director of Adults, Health and Housing, Derby City Bruce Laurence, Acting Director of Public Health, Derbyshire County

Overview Model in Derby City Model in Derbyshire County Similarities Differences Local Authority reflections

Derby City Health and Wellbeing Board RoleSeats Elected Politicians 5 NHS “Commissioners” 6 (5 if you exclude DPH) Local Authority Officers 3 (4 if you include DPH) “Providers”3 (4 if you include CCG) Third Sector3

Why this composition? Strong democratic legitimacy Fits with emerging statutory guidance Attempted to balance different key organisations Included Providers following Board discussion HWB is already a Cluster sub committee, an LSP “outcome board” and will be a sub-committee of the City Council Positioned as the health and wellbeing strategic group for the City

Derbyshire County Health and Wellbeing Board RoleSeats Elected Politicians7 (five county, 2 district/borough NHS “Commissioners” 10 (9 excluding DPH) Local Authority Officers 4 (5 including DPH) “Providers” and third sector 1 (Link)

Model In Derbyshire County Six consortia and a two tier structure –therefore potentially very large board No providers –size of board and at least four large providers. No voluntary sector (ex Link) Methods of engaging outside board important Sub-committee of County Council Adult board and children’s trust report in to HWB Developing H and WB strategy

Similarities and differences Strong Democratic Legitimacy Fits with emerging guidance Oversight of county health and wellbeing strategy Narrower membership to accommodate two tier structure and multiple CCGs.

Some items covered County CCG Development and the role of the board in NHS commissioning JSNA & the H and WB strategic framework Childrens joint commissioning + Health visitors Family literacy Screening, health protection, sexual health There has also been a large HWB stakeholder event with wide provider, public sector and voluntary sector input City Facilitated sessions on the new system and roles and responsibilities JSNA and Child Poverty needs assessment Childrens joint commissioning and Health visitors Citizen involvement / engagement in health and commissioning Governance arrangements

Local Authority Reflections Readily embraced the place shaping and leadership role for local authority Development sessions important to understand each other’s worlds Members and GPs – both get local and people focus Get the wiring right for children’s services The work of the Board must be bigger than Board meetings Inclusion and participation of all stakeholders important Got to get the fit right with Oversight and Scrutiny

Summary Close working between City and County and 1 NHS Cluster across both Some similarities in the composition of HWB Differences reflect the views of the Boards Infrastructure to support the Boards is still being developed Links to Children and Young People Boards, Safeguarding and other groups still being developed but likely to be different.