Healthy Lives, Healthy People: Voluntary Community and Faith

Sectors

John Radford Director of Public Health NHS Rotherham

Liberating the NHS

• DH/local authorities responsible for health• Strengthened Health and Wellbeing Boards• GP Commissioning/Clinically led• NHS Commissioning Board• Specialist Commissioning• Local Authority Commissioning• Provision through FTs – freedoms any willing• PCT Clusters

Local Context

• Up to 20% reduction in Council Funding• Reduction/abolition of grant based funding• NHS funding pressure• Increased demand• Increased levels of not in employment• Localism• Change

Marmot Review of Health Inequalities

• Give every child the best start• Enabling all children and adults meet their

capabilities and have control• Fair employment and good work• Healthy standard of living for all• Healthy and sustainable places and

communities• Strengthen ill health prevention

Health and Wellbeing Boards

• Local Authority responsibility to improve health and tackle health inequalities

• Coherent commissioning of health/social services• Ring Fenced PH Budget• Strategy for health• HealthWatch – patient advocacy/scrutiny

Themes

• Inequalities• Early years • Active ageing• Sustainable communities (Social and Green)• Social care shift to prevention• Health checks• Drug services/Alcohol misuse prevention• Sexual health services• Behaviour and lifestyle change

VCSF Opportunities

• Potential to reach into seldom heard communities

• Innovate where conventional services not succeeded

• Business case/business model • Maximise the retention of money in the

community• Support statutory organisations inequalities

targets

Business Model

• Local employment• Prevent environmental harm• Community wellbeing• Back to work• Rehabilitation • Volunteering• Flexibility

Compact

• Publishing contract opportunities• Pre qualification criteria• Preferred provider status• Maximise retention of money in the local economy• Develop those not in employment• Challenge cost/price define social/environmental

value added www.neweconomics.org• Contract division manageable lots

Council Leadership

• Leading partnership for Health• Establish clear objectives and outcomes for

health improvement• Engage families and communities • Ensure Healthy, Safe and Sustainable

Environment• Protecting the vulnerable