1. Voluntary Sector North West Health and Well-Being Boards – Voice and Representation Tim Gilling Acting Executive Director Centre for Public Scrutiny

2. Re-defining relationships “We believe that many of the White Paper proposals provide opportunities to fundamentally redefine relationships and behaviours between:  professionals, patients and carers (e.g. through shared decision-making)  commissioners and providers (e.g. through shifting the balance of power and capacity to change the status quo)  commissioners, providers and communities (e.g. through involvement and influence)  commissioners, providers and councillors (e.g. through political leadership and scrutiny)” CfPS response to Equity and Excellence – October 2010

3. what do we mean?

4. what does the sector look like?  diverse  supporters  fundraisers  advocates  providers  this is a strength but can also be a barrier

5. challenges for the sector  credibility = staying independent but havingan influence  outside or inside ‘the system’ – easy to dismiss or easy to pigeonhole  community channel – facing out, in touch with wider perspectives  critical friend – facing in, strategic advice from a non- institutional perspective

6. the value the sector brings what matters to people:  right treatment/right time/right place  continuity/integration  outcomes of care  clinical quality  dignity of care  environment of care  shared decision-making  practical and emotional support  carers and families  after care/independence

7. tools to influence  Health and Well-Being Boards – membership or advisory?  local Healthwatch  council scrutiny  working together or supporting your own cause  influencing needs assessments and health and well-being strategies