1. The Health Transition Emma Easton Regional Voices

2. Background Government White Paper Equity and Excellence: Liberating the NHS published on 12 July –sets out the Government’s vision for the NHS; Regional Voices Consultation Events September 2010 To consider issues and impacts for the voluntary and community sector, patients, service users and carers groups. Consultation Responses October 2010 Government Response to WP 15 December Government Health Bill January 2011

3. Patient Focus and Engagement Respondents generally liked the move towards a more patient focused NHS based on localised needs and provision, but the working mechanics of this lacks clarity particularly on how to engage seldom heard communities and individuals. Comments include:  Patients need to be given a voice on which services are commissioned for them  GP Consortia and local statutory bodies need to involve communities in their decision-making  Important to promote the role of social enterprises and charities can play in the NHS not only as providers but as navigators between services

4. HealthWatch Generally, respondents welcomed the move to HealthWatch but had significant concerns about the role of advocacy and the support needed to make the transition. Comments include:  Will HealthWatch will be adequately resourced?  Concerns over volunteers providing advocacy or HealthWatch taking advocacy away from specialist groups  Potential conflict of interest if HealthWatch funded by local authorities  HealthWatch not a good name – needs to reflect social care too

5. Commissioning and Democratic Legitimacy Overall concern about the pace of change and the impact this would have on the VCS Comments include:  Need to educate those involved in consortia in the third sector  There has been no piloting of GP consortia  Will affect our resources as we will have to engage with more people  Health and wellbeing boards should have representatives from both the third sector and patient representatives

6. Information The information revolution promised by the White Paper must not sideline the importance of personal interaction with the use of new and cheap technology that is pointless to those who cannot access or use it effectively for example people with learning disabilities and BME groups whose first language is not English. Comments include:  More face to face engagement needed including multiple methods of communication  Patients need access to easy read information to enable them to make informed choice about services

7. What’s happening now  National GP consortia pathfinder event in January  Work with Royal College of GPs  Development of GP consortia commission  Regional work with Strategic Health Authorities  These events as a springboard with Public Health

8. Dec 2010Apr 2013 Apr 2012 Apr 2011Jan 2011Jun 2011 Autumn 2011 Second wave of pathfinders announced First pathfinder GP consortia Emerging consortia begin to take on delegated authority Early implementer Health and Wellbeing Boards announced Pathfinder HealthWatch NHS Commissioning Board in shadow form – special health authority Accountability still with PCT but starting to back off Clustering of PCTs complete HealthWatch England established in shadow form GP consortia begin to be authorised to take on delegated authority HealthWatch in operation Health and Wellbeing Boards in shadow form Overall accountability still with PCT SHA abolished NHS Commissioning Board formally established Accountability moves to GP consortia but still learning process for next year HealthWatch advocacy role starts PCT abolished Health and Wellbeing Boards fully operational

9. Further Information Emma Easton Emma.easton@regionalvoices.org Tel: 0113 394 2304 www.regionalvoices.net