1. Health Reforms in Lancashire and improved health and wellbeing outcomes for Children and Young People and their families

3. CSS Commissioning support service NCB National Commissioning Board Overview and Scrutiny Greater Preston (including Longridge ) District arrangements including development of LSP H&W groups & New H&W Partnerships Health & Wellbeing Board Children’s Trust Health Watch Care Quality Commission Third Sector Public Health England Monitor CCG NETWORK East Lancashire West Lancashire Chorley and South Ribble Morecambe, Lancaster, Carnforth, Garstang Fylde & Wyre not including Garstang Blackburn with Darwen Blackpool Other providers Including: Lancashire Care Trust Lancashire Teaching Hospitals Trusts Clinical Senates Support organisations and networks e.g. Advanced Quality Alliance AQuA Children’s H & W Board PULSE Public Health Lancashire

4. The Public Health system in Lancashire Public Health teams in: Lancashire County Council Public Health England (Cumbria & Lancashire) NHS Commissioning Board Local Area Team (pan Lancashire)

5. Five main contributions 1.Directly commission public health services 2.Provide public health leadership and support to NHS Commissioners, LCC, Districts, the Third Sector and other partners 3.Be the interface between the Health and Wellbeing Board, the District level partnerships and the rest of the health system 4.Develop new relationships with CCGs, NCB, PHE, CSU and LCC Directorates to improve health and well being outcomes 5.Contribute to develop national policies

6. New Approaches Use of assets Integrated commissioning Generic skills with matrix working on public health priorities Greater focus on wider determinants, delivering improved outcomes and reducing inequalities Aligned with the shifts envisaged in the Health and Wellbeing strategy

7. Matrix Working across themes Health Checks Healthy Lifestyles inc. physical activity Drug and alcohol misuse Tobacco control and stop smoking services Healthy Settings School nursing Mental health NCMP and childhood obesity Infant mortality Accidental injuries Seasonal mortality reduction Children and young people’s healthcare, older people’s healthcare Healthy Child Programme Infant feeding Sexual health Long term conditions, cancers, circulatory disease Dental public health

8. Healthy Settings Public Health Lancashire co-produced workstream to: develop proposals for the management of health improvement in 0-19 settings Schools; Children's Centres; Children Homes; Colleges; Youth Offending Institution and Youth Centres Currently mapping the ‘Understand’ phase of the Commissioning Cycle What, How and Who ?

9. NL CL EL LDAAT PHN PH in NHSPH in LCC Overview of Transition Process 2012April 2013

10. Organisational Structure (All in Place - December 2012) Executive Director of Public Health To be appointed Director of Population Healthcare Dr Sakthi Karunanithi Director of Health Improvement Mike Leaf Director of Health Protection and Policy Deborah Harkins Chief Executives (NHS Lancashire & Lancashire County Councils )

11. Health & Wellbeing Board Health Watch CCG NETWORK East Lancashire West Lancashire Chorley and South Ribble Lancaster North Fylde & Wyre Greater Preston Children’s H & W Board PULSE Public Health Lancashire

12. Health and Wellbeing Strategy Overall goal – narrow the gap in healthy life expectancy Priority shifts –Shift resources towards prevention –Build and utilise community assets, skills and resources –Promote self-care and responsibility for health –Commission and deliver accessible services within communities; improving the experience of moving between primary, hospital and social care. –Make joint working the default option –Narrow the gap in health and wellbeing and its determinants

13. Health and Wellbeing Strategy Outcomes: –Improve the health and wellbeing of new and expectant families –Improve mental health and wellbeing –Reduce long term conditions and improve quality of life of those affected –Improve health and independence of older people Interventions: Smoking in pregnancy Affordable warmth Support for carers Risk stratification and response Healthy weight environmental measures Loneliness in older people Domestic abuse Alcohol liaisonSelf careVulnerable families from 1 st pregnancy

14. Children’s version of Shadow Health and Wellbeing Board