Health Reforms

The NHS White Paper

Equity and Excellence: Liberating the NHS

“…..one of the biggest shake-ups of the health system since the NHS was established”

Prof Chris Ham, King’s Fund, July 2010

Opportunities•Services closer to home and less demand for expensive hospital services

•Streamlined services: easy to use and more cost effective

•Unlock community assets and capacity for prevention and early intervention

•Maximise individual and community resilience to promote well-being and independence

•Public services work together with ‘customers’ involved in decisions

Headlines

• Abolish PCT’s

• CCG’s (Clinical Commissions Groups)

• Public Health transfer to Local Authorities

• Health and Well-Being Board • Healthwatch

Lancashire Health and Well-being Board:Membership

Cabinet Member for Health and Well-being (Chair: Val Wilson)Cabinet Member for Adult and Community Services (Mike Calvert)Cabinet Member for Children and Schools (Susie Charles)Executive Director for Adult and Community Services (Richard Jones)Executive Director for Children and Young People (Helen Denton)Directors of Public Health (Maggi Morris, vacancy, but….)CCG Members (6, coming shortly….)Chair of Lancashire PCT Cluster Board (Peter Kenyon)Chief Executive of Lancashire PCT Cluster (Janet Soo-Chung)3 District Councillors (Cheryl Little,Fylde Coast; Julie Cooper, East Lancs;Bridget Hilton, Central Lancs1 District Chief Executive (Lorraine Norris)Third Sector Representative

TBA: NHS Commissioning Board; Healthwatch; Providers

CCG Membership

• Peter Williams (East Lancashire)

• David Wrigley (Lancashire North)

• Robert Bennett (Chorley and South Ribble)

• Ann Bowman (Greater Preston)

• Simon Frampton (West Lancs)

• Jim Reid ( Fylde and Wyre)

Lancashire Health and Well-Being Board: Strategy

• Overall Aim: to ensure measurable improvement in Health and Well-being of the people of Lancashire by 2020

• Collaboration: to ensure greater impact

• Getting Results: deliver ‘priority outcomes’, and early interventions

Priorities

• Move resources towards interventions that prevent ill health and reduce demand for acute and residential services

• Build and utilise the assets, skills and resources of our citizens and communities

• Promote and support greater individual self-care and responsibility for health; making better use of information technology and advice

• Deliver accessible services within communities; improving the experience of moving between primary, hospital and social care

• Pooling budgets and resources to focus on priority outcomes• Work to narrow the gap in health and well-being and its

determinants

Ten Interventions

• Smoking in pregnancy (Dr Bennett)• Loneliness in older people (Wedgeworth)• Affordable warmth (Little)• Early response to domestic violence (Soo Chung)• Support for carers (R.Jones)• Alcohol liaison nurses (Dr Wrigley)• Risk of admission to hospital (Dr Frampton)• Self-care: encouraging people to take control (Morris)• Healthy weight- environmental measures (Norris)• Joined-up support for vulnerable families ( Denton)

Timescales

• Engagement with partners on the priority outcomes and shifts in ways of working - June 2012

• Draft strategy considered by shadow Health and Wellbeing Board – 10th July 2012

• Complete in-depth engagement with partners on the strategy and proposed interventions and secure partner support for implementation of the broader strategy and identified interventions - September 2012

• Presentation to Stakeholders– November 2012

What does it mean for us ?

• Huge Opportunities: Emphasis on communities and partnership

• Local H and WB Partnerships

• Healthwatch

• A huge amount of work

• My role

• Is there more to well-being than just good health ?