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 statutory functions: –Undertake a Joint Strategic Needs Assessment (JSNA) and agree shared priorities; –Produce a Joint Health and Wellbeing Strategy (JHWS), using the evidence provided in the JSNA; –Promote integrated working between NHS and local government (including approval of commissioning plans to ensure alignment to JSNA and JHWS) Health and Wellbeing Board

4. Development of the Board in Lincolnshire Shadow committee of the council until 2013 Established March 2011 A set minimum membership; including LINk/Healthwatch, councillors, officers and GPs Initial focus on improving JSNA, now working to convert JSNA priorities into themes of the JHWS May 2012 - To discuss the approval process for commissioning plans Health and Wellbeing Board

5. Background and purpose Comprehensive analysis of local current and future needs across a range of issues Should include a wide range of quantitative and qualitative data, including user, patient and community views Statutory duty to produce a JSNA since 2007 JSNA is key to the current NHS reform proposals 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? Population is estimated to be 703,000, projected to rise to 838,200 by 2033 12% of Lincolnshire’s population now live within the 20% most deprived areas of England Female life expectancy is 82 years and male life expectancy is 78 years but...gap is 17.7 years for females and 12.5 years for males http://shared.research-lincs.org.uk/joint- strategic-needs-assessment.aspx

7. Approach to development Establish JSNA as a continuous process; Improve level and quality of engagement; Produce a succinct annual JSNA report; Support the report with expert commentaries on 35 topic areas; Focus report on the health inequalities; New website with enhanced views of the JSNA 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 systematic care for major causes of ill health Improving health and reducing health inequalities for children Reducing Worklessness Joint Strategic Needs Assessment http://shared.research-lincs.org.uk/joint- strategic-needs-assessment.aspx

9. Approach to development Five themes (based on five JSNA priorities) Each theme has at least one sponsor 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 strategy (2013 to 2018) periodically reviewed by the Health and Wellbeing Board Joint Health and Wellbeing Strategy

10. Timescales December 2011/January 2012 – Individual themes consult and propose 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 – Formal consultation July 2012 – Sign off strategy September 2012 – Strategy is used to inform commissioning plans for 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 actively engage communities in a dialogue about their health and social care needs to ensure that services act upon feedback and can demonstrate that they have done so 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 that will enable them to 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 Retain the existing functions of the LINk, 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 exercise functions on its behalf 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