John Wilderspin – National Director Health and Wellbeing Board Implementation How are Health and Wellbeing Boards shaping up? How they can improve commissioning ADASS and BGS conference 2 nd July 2012 Laura Johnson - London Borough of Redbridge

HEALTH AND WELLBEING BOARDS - improving commissioning 2 2nd July 2012 What are we going to cover? Relevant elements of the Health and Social Care Act How can HWBs achieve integrated commissioning in their localities? Discussion points

HEALTH AND WELLBEING BOARDS - improving commissioning 3 2nd July 2012 NHS Reforms: NHS Commissioning Board and local Clinical Commissioning Groups National and local Healthwatch Transfer of Public Health responsibilities to local government Establishment of local health and wellbeing boards Background: The Health and Social Care Act

HEALTH AND WELLBEING BOARDS - improving commissioning 4 2nd July 2012 Health and wellbeing boards The Health and Social Care Act: Sets up Health and wellbeing boards (HWBs) as council Committees Establishes a core membership, with flexibility to expand locally Mutual obligation on councils and NHS commissioners to undertake Joint Strategic Needs Assessment (JSNA)+ joint health and wellbeing strategies to inform commissioning plans Sets expectation of alignment of health, social care, public health (and other) commissioning plans Promotes joint commissioning and integrated provision Sets a duty for HWBs to involve users and the public in JSNA and JHWS Gives HWBs a role in annual assessment of clinical commissioning groups (also a non-statutory role in their initial authorisation)

HEALTH AND WELLBEING BOARDS - improving commissioning 5 2nd July 2012 Health and Wellbeing Boards: Taking the lead for integrated commissioning HWBs have the strategic viewpoint and right people around the table to:  ensure alignment of organisations’ resources and service commissioning plans (health and social care, children and adults);  promote integrated commissioning and provision;  enable service change where required. What are some of the challenges? E.g.  Different commissioning cycles (Health. Social Care, Public Health);  Ensuring that user involvement, choice and control are embedded in integrated commissioning;  Developing a shared understanding, joint priorities and clearly established roles and responsibilities;  Working within a climate of huge organisational change.

HEALTH AND WELLBEING BOARDS - improving commissioning 6 2nd July 2012 Discussion Points 1) How should Health and Wellbeing Boards (HWBs) best promote effective integrated commissioning? 2) How can the boards deliver strong, credible and shared leadership across local organisational boundaries? (in a context of unprecedented financial pressures, rising demand, and complex organisational change) 3) How can HWBs maximise the opportunities which come from the establishment of CCGs?