1. Children & Young People’s Network meeting 26.02.13 Shaping the Bristol Health & Wellbeing Strategy for local children and young people Claudia McConnell, Service Director Strategic Commissioning, BCC/NHSB

2. Developing the Health and Wellbeing Strategy for Bristol Living City - Fit for the Future 2013-18

3. Process Summer 2012 - Health & Wellbeing Board (HWB) develops a draft Early consultation on principles and potential priorities Stakeholder Conference 3rd October 2012 where key themes emerged VCS event on 8 th November 2012 12 week public consultation period started in early February 2013 Strategy will be agreed by HWB in early July

4. JSNA 2012: Key evidence  Population change  Economy and Deprivation  Children and young people  Adults and older people  Health inequalities  Lifestyle & Health improvement  Healthy City  Service Landscape and Service Utilisation Website: www.bristol.gov.uk/jsna

5. Challenges To build on and respond to evidence in the JSNA while staying focused on key priorities To focus on WHAT to do and HOW to do it Developing a strategy in the current economic environment with the need for service/care transformation and a focus on prevention, inequalities and changing priorities (children) To change the status quo – do things differently or do different things? How does the HWB and strategy add value?

6. Bristol Health and Wellbeing Board: A Strategy for Bristol Vision Bristol is a place where all who live, work or learn in the city lead healthy, safe and fulfilling lives, now and in the future

7. Principles  Working in a joined up, cost effective way to integrate good quality, sustainable services around the individual  Enabling children to have the best start in life  Reducing health inequalities  Preventing anyone from “falling through the gaps”  Empowering people and communities to help themselves  Focusing on enabling people to stay healthy, on providing timely intervention and on reducing unnecessary demand for services  Spreading good practice and making best use of existing strategies and work programmes  Working with partners on issues that have an impact on health and wellbeing within our communities

8. 4 Key Themes A city of healthy, safe and sustainable communities and places A city where healthy life expectancy and wellbeing are improving for everybody A city where health inequalities are reducing A city where people get access to quality support when and where they need it

9. Priorities Each theme is under-pinned by specific priorities (pages 9-11) Priorities based on evidence of need and of effectiveness (what works), making best use of available resources 12 week consultation period can be used to re- affirm/verify if approach and priorities are correct/best value

10. Role of the HWB Duty to promote integration – challenge all commissioning plans in relation to the strategy Influencing other agendas, such as planning and transport Holding to account on delivery of priorities Has the potential to be the key strategic body for health and care

11. HealthWatch People and Patients, Carers, Communities and Services (inc. Acute, VCS etc) CCG Functions NHS CB Functions Wider Determinants of Health Public Health Commissioning Children and Young People Adult Health and Social Care From JSNA to Health and Wellbeing Strategy? Secondary Care and Specialist Services Primary Care and Interface services Prevention, Risk Assessment and Targeted Interventions

12. Framework

13. Wider Determinants of Health

14. The spectrum of children’s health needs Health promotion, prevention and improvement Primary care Children with poor mental health Urgent care for children with acute illness Children with long-term conditions Children with complex health needs Children with disabilities Looked after children Palliative care Ensuring use of medicines optimises health outcomes The health sector’s contribution to safeguarding children The health sector’s contribution to support for troubled families