1. Health and Wellbeing Development Martin Wilson Head of Community Engagement - Public Health Directorate Lincolnshire County Council The Board, the Assessment and the Strategy

2. Contents Health and Wellbeing Board Joint Strategic Needs Assessment (JSNA) Joint Health and Wellbeing Strategy (JHWS) LINk to Healthwatch

3. Background and purpose: Health and Social Care reform agenda Three key things: –Start a Joint Strategic Needs Assessment (JSNA) and agree what is imnportant; –Make a Joint Health and Wellbeing Strategy (JHWS), using things found in the JSNA; –Work together with the NHS and local government Health and Wellbeing Board

4. Development of the Board in Lincolnshire Shadow committee Started March 2011 Members will include LINk/Healthwatch, councillors, officers and GPs Looking at improving JSNA, then working to change JSNA priorities into themes of the JHWS May 2012 – Look at commissioning plans Health and Wellbeing Board

5. Background Look at the needs of people around issues they say are important Should include views from users, patient and community Need to produce this assessment since 2007 JSNA helps to tell the NHS what needs to be done Joint Strategic Needs Assessment http://shared.research-lincs.org.uk/joint- strategic-needs-assessment.aspx

6. Joint Strategic Needs Assessment What does it tell us? The number of people is estimated to be 703,000, and this should rise to 838,200 by 2033 12% of people living in Lincolnshire now live within the 20% most deprived areas of England Females are expected to live to be 82 years and males to 78 years http://shared.research-lincs.org.uk/joint- strategic-needs-assessment.aspx

7. What needs to be done JSNA to happen every year; More people to take part and share information; Produce JSNA report every year; Support the report with experts talking about certain things; Focus on health inequalities; Website needed for JSNA information Joint Strategic Needs Assessment http://shared.research-lincs.org.uk/joint- strategic-needs-assessment.aspx

8. JSNA identified priorities Promoting healthy lifestyles Improving health and wellbeing for older people Delivering high quality care for ill health Improving health and reducing health inequalities for children Reducing the number of people who are able to work Joint Strategic Needs Assessment http://shared.research-lincs.org.uk/joint- strategic-needs-assessment.aspx

9. How this will be developed Five themes (based on JSNA priorities) Each theme has at least one penson from the Health and Wellbeing Board A Public Health Consultant (Assistant Director) leads on the development of each theme Each theme uses evidence from JSNA to consult and agree priorities and actions Five year piece of work (2013 to 2018) looked at every year by the Health and Wellbeing Board Joint Health and Wellbeing Strategy

10. Timescales December 2011/January 2012 – Individual themes consult and tell priorities to the Health and Wellbeing Board March 2012 – Draft strategy is presented in to the Health and Wellbeing Board March 2012 to June 2012 – Consultation July 2012 – Sign off strategy September 2012 – Strategy is used to say what will happen 2013/14 and beyond Joint Health and Wellbeing Strategy

11. LINk - HealthWatch In order to strengthen the voice of patients Existing Local Involvement Networks (LINks) will become local HealthWatch organisations. Nationally; HealthWatch England will be a new independent consumer champion within the Care Quality Commission Locally; delivered by councils, local HealthWatch sit on Health and Wellbeing boards, and can report concerns about quality of local services to HealthWatch England

12. Local Healthwatch Will talk to people about their health and social care needs to make sure that services do what they say and have done so far Will provide a single point of contact, by connecting people to the right NHS and social care advice and advocacy services Will help people to find information so they can then choose the services they need and require Will support people to speak out and give those who want it, an opportunity to get more involved in a range of different ways

13. Healthwatch Functions Carry on doing the work the LINk do, Provide information to support patient choice: Have a representative on Local Health & Wellbeing boards Possibly provide complaints advocacy (ICAS):

14. Healthwatch Will Be in place in October 2012, building on the current LINks Be an organisation in its own right, and no longer a network Have ‘members’ who can be paid Have participants as well as ‘members’ Have to produce its own annual accounts

15. Healthwatch May Appoint its own employees. Arrange for an employee (or member or committee) or some other person to do things for them Have approximately 8-9 members of staff per LHW (some of these will possibly be from PCT PALs departments and some from existing ICAS offices) Be a ‘high-street’ presence and a body in its own right

16. How To Get Involved? JSNA –David.stacey@lincolnshire.gov.ukDavid.stacey@lincolnshire.gov.uk –01522 554017 JHWS –David.stacey@lincolnshire.gov.ukDavid.stacey@lincolnshire.gov.uk –01522 554017 LINk & Healthwatch –Rob.hewis@lincolnshire.gov.ukRob.hewis@lincolnshire.gov.uk –01522 554253