Health & Well Being Boards John McBride Borough of Poole A Healthy Future for Bournemouth & Poole- Annual Check-Up

National Context Long standing policy goal – Minister was shadow for years – GPs and local people to have more say in the £60bn NHS budget Coalition government HWBs to be democratically accountable bodies Health & Social Care Bill ( enacted early 2012?) Affordability of NHS – Demographic change – Increasing availability and cost of medical treatments Overall financial context Already had 1 pause / listening exercise..... A Healthy Future for Bournemouth & Poole- Annual Check-Up

Local Authority perspective 3 areas of change:- HWB set up as statutory committees of the Executive Healthwatch to replace LINks to represent the public & empower local people to have their say about quality of Health & Social Care Local Authorities to take over responsibilities for Public Health A Healthy Future for Bournemouth & Poole- Annual Check-Up

Poole context (1) High satisfaction as place to live Generally good health Inequality issues Demographic change Severe financial restraint This isn’t the only major change we face... A Healthy Future for Bournemouth & Poole- Annual Check-Up

Poole context 2 Strong commitment to partnership working – dealing with a broad range of Well Being issues Originally thought that Local Strategic Partnership would become HWB More likely that HWB concentrate on key drivers and have a strong Health & Social Care focus Already share infrastructure “below” HWB dealing with a range of commissioning strategies A Healthy Future for Bournemouth & Poole- Annual Check-Up

What is HWB (1) Local Authorities have a duty to establish HWBs to lead on improving strategic co- ordination across the NHS, Social Care, Children’s Services Public Health They will provide a framework for collaboration & engagement - If they try to cover everything - they’ll fail A Healthy Future for Bournemouth & Poole- Annual Check-Up

What is HWB (2) Agree the JSNA HWB Strategy ( to inform plans) Agree the Health & Social Care commissioning plans:- – Health social care – Children's services – Public health –..... A Healthy Future for Bournemouth & Poole- Annual Check-Up

JSNA Necessary Research &Intelligence to demonstrate that decisions are based on analysis of need Provides easy access to headlines and a route to the detail Will identify social determinants e.g. – Housing – Poverty – Community safety A Healthy Future for Bournemouth & Poole- Annual Check-Up

What will HWB look like? No detail until the Autumn Function of LA executive Minimum requirements for membership – Must be effective & inclusive LA retains Overview & Scrutiny function Approving / agreeing / vetoing ????? A Healthy Future for Bournemouth & Poole- Annual Check-Up

Local Options for HWBs (1) Originally thinking - 3 HWBs Balancing focus with scale Moved away from 3 HWBs – Reflecting larger CCG – Reflects locality differences A Healthy Future for Bournemouth & Poole- Annual Check-Up

Local Options for HWBs (2) Next question - 1 or 2 for conurbation? Proposal is for 1 for conurbation – Better strategic view – CCG group preference – Already many joint commissioning strategies – – Feedback from vol sector and other public bodies A Healthy Future for Bournemouth & Poole- Annual Check-Up

Local Options for HWBs (2 cont) Separate 3 JSNAs – but Poole & Bournemouth work together and with Dorset Review after 12 months A Healthy Future for Bournemouth & Poole- Annual Check-Up

Board membership Minimum requirements Flexibility to develop own arrangements above that Needs to balance representation and effectiveness Proposal:- – 2x2 Local Authority Portfolio Holders – 2x2 Local Authority Directors – 2x Healthwatch representatives – Director Public Health – 2 x CCG reps Shadow Board from March ( need PCT & LINks representation) A Healthy Future for Bournemouth & Poole- Annual Check-Up

Not yet decided... Quite a lot! Structure for Public Health Stakeholder involvement in JSNA Longer term stakeholder engagement.... A Healthy Future for Bournemouth & Poole- Annual Check-Up

Some Personal Hopes and Fears Hopes Delivers better outcomes Invests in “keeping well” Better joining up Focus on big issues Join up with other partnerships Harness potential of local community Maximises local intelligence Fears Try to do too much... too quickly Not enough attention on change management Become politicised NHS and Local Authorities “squabble” A Healthy Future for Bournemouth & Poole- Annual Check-Up