1. Health and Wellbeing Strategy Framework for Delivery West Lancashire Health & Wellbeing Partnership Dr Sakthi Karunanithi

2. What the presentation will cover Lancashire Health and wellbeing strategy – History and context – Delivery plan – Delivery system

3. History and Context Lancashire Shadow Health and wellbeing Board established in February 2012 Agreed membership and function – Understand needs and assets of citizens and communities (through JSNA) – Agree priorities within Joint Health and Wellbeing Strategy – Co-ordinate commissioning plans of partners against priorities – Promote integration Decided initial focus was to establish priorities in health and wellbeing strategy Four priority outcomes agreed based on JSNA

4. History and Context Board mandate to turn the priority areas into action plan Task and finish group to identify evidence based actions to deliver the outcomes and co-ordinate partners’ commissioning plans Emerging evidence through Longer Lives, Francis report, Winterbourne view, and urgent care reviews New County Council administration Opportunity to revisit delivery arrangements Health and wellbeing Board agreed delivery programmes and system in July 2013

5. From the narrative to a delivery system Existing state Purpose Shifts Four priority outcomes – New and expectant families – Mental health – Long term conditions – Older people Ten interventions Re-framed state Purpose Overarching goals Shifts A delivery framework for achieving the outcomes and interventions Board member leadership Established links with locality health and wellbeing partnerships and other county wide partnerships

6. Working together to achieve results Purpose Better Health, Better Care, Better Value Overarching Goals Prevention, community assets approaches, greater resilience & self care, community based services, Integration and focus on equity Shifts Starting Well Living Well Ageing Well Programmes Delivering the Health and Wellbeing Strategy

7. Starting Well Promoting healthy pregnancy Reducing infant mortality Reducing childhood obesity Supporting children with long term conditions Supporting vulnerable families and children Living Well Promoting healthy settings, healthy workforce and economic development Promoting mental wellbeing and healthy lifestyles Reducing avoidable deaths Improving outcomes for people with learning disabilities Ageing Well Promoting independence Reducing social isolation Managing long term conditions and dementia Reducing emergency admissions and direct admissions to residential care settings Supporting carers and families Proposed aims and objectives for the action plan By 2020, achieve measurable improvements in healthy life expectancy and inequalities, health and social care experience and reduce costs Focus on the shifts Prevention, community assets approaches, developing greater resilience & self care, Community based services, Integration and focus on equity Progress measured through outcomes framework indicators

8. Framework for delivery Locality H&W Partnerships & other partnerships Ownership for local delivery Inform priorities Share progress Joint Officers Group Operational leadership Facilitate delivery of programmes Support other functions of the board HWB Board Set system aims Mobilise resources Explore strategic areas Communication Potential Strategic Areas e.g Marmot Review Social Value Promoting voluntary sector contribution Learning Disabilities Francis report Wider stakeholder conferences twice a year and a communications plan

9. Recommendations Consider how the xx health and wellbeing partnership can contribute to the delivery of the Lancashire health and Wellbeing Strategy Consider how the X health and wellbeing partnership can connect with the Lancashire wide Health and Wellbeing Board