Embed Size (px)
DESCRIPTION
A workshop presentation for community groups on engaging effectively with the new health system. Includes links to films and videos/html models
Citation preview
www.hertsdirect.org
Getting involved in the new health and care systemThe nuts and bolts for community agencies
Jim McManus
Director of Public Health
www.hertsdirect.org
The top tips
1. Understand why you want to get involved in the new system1. Do you want to provide services and get funding?
2. Do you want to achieve a policy position or change?
2. Understand the system and get a mentor or buddy or guide
3. Build and work through relationships
4. Identify what value/benefit/capability you bring to the table
5. Do your research on who you work with
www.hertsdirect.org
Talking you through the new system
• Interactive html version here
• http://healthandcare.dh.gov.uk/system/
www.hertsdirect.org
Importance of Healthwatch
Healthwatch - What we do• We make sure that the overall views and
experiences of people who use health and social care services are heard and taken seriously at a local and national level.
www.hertsdirect.org
The new system – who should you go to?
Health and Wellbeing Board
1. Clinical Commissioning Groups
2. NHS England
3. Director of Public Health
4. Adult Social Care
5. Childrens Services
6. Healthwatch
All of them on Health and Wellbeing Board
Brings all partners together with local strategy
1. Commission most health services
2. Commission primary care and specialist services
3. Commissions services, leads on JSNA,
4. Commissions adult social care
5. Commissioning child care
6. Advocacy, Monitoring, Voice
www.hertsdirect.org
The JSNA and getting it to work for you
www.hertsdirect.org
Health and Wellbeing Boards• Requirements of
HWBB – JSNA, Prioritisation, Strategy, Delivery, Integration
• Evidence, Interventions, Cultural and Behavioural Competences, Attitude to Delivery
www.hertsdirect.org
The Herts Health and Wellbeing Board
Functions of Health and Wellbeing Boards
The aim of the board is to make health and social care planning and decision making everyone’s business. Its aims include:
• Development, interpretation and use of the Joint Strategic Needs Assessment (JSNA) to shape commissioning and spending plans
• Development and agreement of a health and wellbeing strategy • Consideration of commissioning plans for health and social care • Agreement of joint commissioning plans and oversight of
performance against outcomes
www.hertsdirect.org
The Herts HWB Strategy Herts Healthwatch
• Herts Health and Wellbeing Strategy Video
• http://www.youtube.com/watch?v=xXIf7nMzsao&feature=youtu.be
• Herts Healthwatch Launch Video
• http://www.hertfordshirelink.org.uk/
www.hertsdirect.org
What is the JSNA
• Statement of health and social care needs• “What are our problems, what are we not doing?
What do we not know enough about?”• Suggestion of priorities• Part of the roadmap from need to services• Supports prioritisation of investment• New guidance• http://healthandcare.dh.gov.uk/draft-guidance/
www.hertsdirect.org
Two resources for community agencies on using and influencing the JSNA
• Royal Society of Public Health guide• http://bit.ly/12nTbWU
• The Voluntary Organisations Disability Group quick guide• http://
www.vodg.org.uk/uploads/jsna/BriefingNote-JSNAandLINksWPed230710.pdf
• A case study – the JSNA and the Irish communities in Britain http://www.irishinbritain.org/demo/files/files/JSNA.pdf
www.hertsdirect.org
The Golden Thread
Marmot
JSNACCG Plans
Priorities
Strategy
Commissioning
Outcomes
(New Outcomes Frameworks)
Need, Outcomes Priorities, Interventions
www.hertsdirect.org
Key Documents
• Local Govt and Public Involvement in Health Act• JSNA Guidance 2008• Health and Social Care Act 2012 and associated
papers• Draft guidance 2012 – copy on memory stick• JSNA Toolkit 2011 – copy on memory stick• JSNA Data Inventory 2011 – copy on memory
stick
www.hertsdirect.org
www.hertsdirect.org
Knowledge
www.hertsdirect.org
Knowledge
Need
Solutions
Views
www.hertsdirect.org
Commissioning Roadmap
Identify Priorities
What Works in delivery
CommissionMonitor and Evaluate
Assess NeedJSNA
Health & Wellbeing Strategy
Commissioning Plans
www.hertsdirect.org
Data Inventory (LGID)
• Domain one: Population • Domain two: Social and place wellbeing • Domain three: Lifestyles and health
improvement• Domain four: Health and wellbeing status • Domain five: Service utilisation• Domain six: Priorities for action
www.hertsdirect.org
Case Study – Bristol and RNIB• the Royal National Institute of the Blind (RNIB) presented new
evidence to suggest significant increases in Bristol’s blind and partially sighted population.
• Local Authority held details of registered • suspected that those with sight loss are significantly undercounted
because of stigma the lack of a single trigger or referral system to the register.
• Other data supported the growth cited in the national research, including local outpatient /admission rates.
• RNIB gave epidemiological evidence on prevalence and the most cost effective interventions for reducing blindness. RNIB believe the improved section supported case for the new patient support service in Bristol eye hospital.
• For further information contact – [email protected]
www.hertsdirect.org
The Challenge for Third Sector and Community Sectors
• Seen as a junior partner• They’re not sure what you have to offer• Are you sure what you have to offer?
• Health inequalities?• Access?• Engagement?• Enforcement?
• Ignored within the wider politics• Caught up in the maelstrom of change
www.hertsdirect.org
The Tactics you are not on a level playing field
• Analyse the Stakeholders and their Fora • Understand their priorities• Be clear on your Capabilities• Identify your Contributions• Link it to their frameworks • Be solution focused• Exploit the trade off – you need to understand the evidence etc
world. Public health and CCGs need to understand community sectors and voices
www.hertsdirect.org
Distributed leadership =
• Managing service?• Corporate roles?
• Art and Science• Technical Domains of
Skill• Personal Resilience
• Influencing, Negotiation, Persuasion, Orchestration,
• Style• Emotional Intelligence
• Strategic Vision and Prioritising
• JSNA into reality• Challenges nested
across system
Shaping and Sense-Making
Relational and Interpersonal
Transactional
(lot of noise on this so far)
Integrational and
Systematisation
www.hertsdirect.org
Adult Social Care Outcomes Framework
1. Enhancing quality of life for people with care and support needs
2. Delaying and reducing the need for care and support
3. Ensuring that people have a positive experience of care and support
4. Safeguarding adults whose circumstances make them vulnerable and protecting them from avoidable harm
www.hertsdirect.org
www.hertsdirect.org
www.hertsdirect.org
Clinical Commissioning Groups
• Helping them understand and link with local authorities
• Help them understand their population – CCG Profiles, Local Plans, JSNA,
• Helping them achieve authorisation • NHS Outcomes framework
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700
