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Engaging with the new Health Landscape The Women’s Health And Equality Consortium (WHEC). November 2012. Background to WHEC. Strategic Partner to the Department of Health in 2008 Partners: Platform 51, FORWARD, Imkaan, Maternity Action, Positively UK, Rape Crisis and Women’s Resource Centre - PowerPoint PPT Presentation
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ENGAGING WITH THE NEW HEALTH LANDSCAPETHE WOMEN’S HEALTH AND EQUALITY CONSORTIUM (WHEC)
November 2012
BACKGROUND TO WHEC
Strategic Partner to the Department of Health in 2008
Partners: Platform 51, FORWARD, Imkaan, Maternity Action, Positively UK, Rape Crisis and Women’s Resource Centre
Network of women’s organisations across England
WOMEN’S HEALTH
“Health is a state of complete physical, mental and social well being and not merely the absence of
disease or infirmity. Women’s health involves their emotional, social and physical well-being and is determined by the social, political and economic
context of their lives, as well as by biology … major barrier for women to the achievement of the highest
attainable standard of health is inequality, both between men and women and among women in different geographical regions, social classes and
indigenous and ethnic groups.”
Source: Fourth World Conference on Women (Beijing, September, 1995)
WOMEN’S HEALTH AND INEQUALITY Poverty – 22% of women are on persistently low
incomes Low pay- two thirds of those working in low paid jobs
are women Discrimination - 30,000 women lose their jobs every
year because they are pregnant Caring responsibilities – over 50% of women will
have been carers before they are 60 and are more likely to experience poor health and long-term condition
Violence Against Women and Girls (VAWG) – over one in four women experience domestic violence and 6,500 girls are at risk of FGM every year
Anxiety and depression – recorded rates are twice as high for women and girls
A CHANGING HEALTH LANDSCAPE: THE THEMES OF CHANGE
KEY THEMES
Clinician-led commissionin
g
Patient voice
Public Health
Localism
Choice & Competitio
n
Integration
Quality, Innovation, Production, Prevention
A CHANGING HEALTH LANDSCAPE: OVERVIEW OF STRUCTURE
NHS
NHS Commissioning
Board
Monitor (provider regulator)
Clinical commissioning
groups
Department of Health
Social care
(in local authorities)
CQC (quality)
Providers
Public Health
England(executive agency of
DH)
(Local health improvement
in LAs)
Local authorities (via health & wellbeing boards)
HealthWatch
Local HealthWatch
THE NEW HEALTH STRUCTURE: ENGAGING DECISION MAKERS Clinical Commissioning Groups (CCG)
NHS budget Pathfinders up and running PCTs active until April 2013
Local Authorities Ring-fenced Public Health budget Responsible for setting up their health and
wellbeing board Directors of Public Health
Responsible for local populations health Moving to local authorities from PCTs Sit on health and wellbeing boards
THE NEW HEALTH STRUCTURE: ENGAGING DECISION MAKERS Health and wellbeing boards
Strategic vision for local populations’ health and wellbeing
Integrated across NHS, Public Health and Social Care
Responsible for Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies
Shadow boards up and running Members include a representative from CCGs in
area, Director of Adult services, Director of Children’s services, Director of Public Health, HealthWatch, local elected councillor, others the local authority thinks relevant
THE NEW HEALTH STRUCTURE: ACCOUNTABILITY
Local HealthWatch Local elected Councillor Health and wellbeing boards to assess CCG
plans NHS Commissioning Board to hold CCGs to
account on spending and outcomes Outcomes Frameworks (NHS, Public Health,
Social Care) New duty on the Secretary of State on health
inequalities Community level (the public, local organisations
–using the new Equality Delivery System)
COMMISSIONING HEALTH AND SOCIAL CARE: THE ROLE OF THE VCS
The crucial role of the
VCS in health and social
care
Providers (delivering
‘health-related’ services)
Intelligence and expertise
Advocacy
Commissioning support
Holding organisations to account
COMMISSIONING HEALTH AND SOCIAL CARE: THE ROLE OF THE VCS
The new approach Competing under Any Qualified Provider (AQP)
tender with a range of organisations Demonstrate impact, value and cost-
effectiveness Evidence of need and service outcomes Working in partnership across agencies Achieving designated outcomes
A NEW SYSTEM – FINAL THOUGHTS Opportunities to engage although local
implementation may vary Health and wellbeing boards / JSNAs Opening up market to new providers New joined-up working Local needs assessment and local organisations Focus on public health (e.g. VAWG)
Challenges for VCS and women and girls A changing environment is hard to engage with ‘Localism’ and fragmentation Competitive environment Focus on outcomes can be hard to demonstrate / capacity Focus on individual voice may result in exclusion Uncertainty, fast change and loss of expertise and staff Cuts at national and local level
1419 April 2023
PROGRAMME TIMESCALES – HEALTH AND WELLBEING BOARDS AND HEALTHWATCH
Oct - Dec
2011
Jan – Mar
2012
Apr – Jun
2012
Jul – Sep
2012
Oct – Dec 2012 Jan – Apr
2013
By April; HWBs fullyoperational in every upper-tier local authority
Preparation for Shadow running HWBs, begin to refresh JSNAs
HWBs operate on shadow basis, produce JHWS and input to commissioning plans
HWB early implementers, HealthWatch pathfinders, emerging clinical commissioning groups, share learning to support implementation
October; Start date for Local HealthWatch organisations and HealthWatch England
CONTACT WHEC Website: www.whec.org.uk Email: [email protected]
USEFUL LINKS
The Health and Social Care Bill explained:
http://www.dh.gov.uk/health/2012/02/bill-factsheets/
CCGs:
http://healthandcare.dh.gov.uk/context/consortia/
http://healthandcare.dh.gov.uk/gp-consortia-map/
Local HealthWatch:
http://healthandcare.dh.gov.uk/local-healthwatch-pathfinders-announced/
USEFUL LINKS
Public Health Briefings:
http://healthandcare.dh.gov.uk/public-health-system/
Public Health Outcomes Framework:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358
Draft JSNA guidance (open to views and consultation):
http://www.dh.gov.uk/health/2012/07/consultation-jsna/
Developing the NHS Commissioning Board:
http://www.commissioningboard.nhs.uk/
The NHS Constitution:
http://www.dh.gov.uk/health/category/policy-areas/nhs/constitution/