Workshop A: the role of Health and Wellbeing Boards

Transcription

1 Better Care Fund Learning Event 15 January 2014 Workshop A: the role of Health and Wellbeing Boards Richard Humphries Assistant Director, Policy

2 Content: Our work on Health and Wellbeing Boards Where are Boards now? pointers from research & experience The Better Care Fund what is the Board s role? Discussion & information exchange

3 Our work on health & wellbeing boards: Advice & support to local authorities & CCGs in establishing & developing Board arrangements; Research & policy analysis national surveys November 2011 & May 2013 Monthly Information bulletin Board Directory boards_making_them_work/health_and_wellbeing.html

4 Health and wellbeing boards at a glance

5 Duties & powers summarised: Duty to encourage integrated working Duty on LA & CCG to produce JSNA & JHWS Discharged through health and wellbeing board (HWB) NHS England must participate Take account of mandate from SoS CCG, LA & NHS England must have regard to JSNA & JHWS in exercising their functions CCG must involve HWB in preparing or revising their commissioning plans HWB has power to Appoint additional members Require NHS England to attend meetings Request information Write to NHS England if CCG commissioning plan does not take account of JSNA/JHWS express opinion whether LA whether is having regard to JSNA, JHWS

6 Where are Boards now? - key messages from 2013 survey Shadow year has been used well CCG & local authority relationships seen as very good and getting better Strong leadership from local authorities & emerging pattern of CCG vice-chairs Providers usually not full members but other forms of engagement Good progress in developing JSNA & JHWS & strong public heath input but Little sign of Boards grappling with local wicked issues e.g reconfiguration, integrated care Great variation between boards in pace and progress Boards recognise they need to change gear.most want stronger role in commissioning...but this has big implications for role, membership, professional support Partnership between CCG & LA offers best prospects for success

7 Priorities agreed by the board

8 The future: 3 scenarios for how Boards might develop Sidelined & by-passed: Board meets formally but commands little confidence, decisions made separately by CCGs & LA Limited role: high level sharing of strategic plans; information sharing; may oversee specific programmes e.g. public health Executive decision-making role across entire local health and care system a big change of role with implications for capacity & expertise the Better Care Fund will be a key early test for Boards

9 Better Care Fund: the role of the Health & Wellbeing Board: Health and wellbeing boards will be the natural place for discussions between NHS England, clinical commissioning groups and councils on how the funding should be spent, as part of their wider discussions on the use of their total health and care resources. NHS England Planning Guidance To sign off the plan this is a national condition attached to the grant (& part of the plan assurance process) Consider whether plan is sufficiently challenging & will deliver tangible benefits for local population Agreeing level of ambition against outcomes Key information & metrics using the national template Be satisfied that BCP has regard to JSNA and existing commissioning plans of CCGs & Council Have a clear understanding of implications for providers: Shared view of future shape of local services Impact on providers Managing the transition Provide first cut of completed BCP template by 14 February Submit revised version of BCP by 4 April Agree recovery plan (if an area fails to deliver 70% of level of ambition set out in its plan)

10 Better Care Fund: dimensions of Board effectiveness: Leadership Relationships between CCG(s) & local authority Shared vision of future services Understanding of resources across whole system Provider relationships Impact on acute sector Risk & how managed Public, patient/user & community engagement Professional & administrative support Public health role in assessing need & evidence? Joint & integrated commissioning Fit with existing integrated care programmes Agreeing and using metrics Organisational capacity to deliver plan Delivery of plan Vision Strategy Leadership Needs assessment & management of priorities Governance, risk-sharing & assurance of outcomes

11 How many members are on the board?

12 Who is represented on the board?

13 Which other stakeholders are represented on your board?

14 How are providers engaged with the board if they are not members of it?

15 Relationship between local authority and CCG

16 Local authority relationships with stakeholders and other groups

17 Importance of local health and wellbeing strategy in influencing

18 Support being given to boards

19 Measuring success

20 Factors that will help boards achieve their objectives

21 Factors that will hinder boards in achieving their objectives

22 Biggest challenge facing boards

23 Thank