Agenda item

Councillor Wyatt, Cabinet Member for Health and Wellbeing, gave the following powerpoint presentation:-

 

National Context – Health and Social Care Act 2012

-          NHS Commissioning Board established October, 2012, to commission some national health services and co-ordinate

-          Local GP-led Clinical Commissioning Groups

-          Public Health England established and local responsibility transferred to local authorities

-          Increased democratic accountability and public voice through establishment of local Health and Wellbeing Boards and HealthWatch

 

Local Implementation - Health and Wellbeing Board

-          Local authorities leading co-ordination of health and wellbeing through the creation of high level Health and Wellbeing Boards

-          Rotherham Health and Wellbeing Board established September, 2011 as a sub-committee of the Council

-          Chaired by the Cabinet Member for Health and Wellbeing

-          Produced Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy

-          Would take on statutory responsibility April, 2013

 

Core Membership of the Board

-          Cabinet Member for Health and Wellbeing (Chair)

-          Cabinet Member with responsibility for Adult Services

-          Cabinet Member with responsibility for Children’s Services

-          Director of Public Health

-          Chief Executive, RMBC

-          Strategic Director of Neighbourhoods and Adult Services

-          Strategic Director of Children and Young People’s Services

-          Strategic Director of Environment and Development Services

-          Chair of Clinical Commissioning Group

-          Chief Operating Officer, CCG

-          NHS Commissioning Board

-          Chief Executive, Voluntary Action Rotherham Metropolitan Borough Council Rotherham HealthWatch (once in place 2013)

-          Chief Executive, Rotherham Foundation Trust

-          Chief Executive, RDaSH

-          Co-optees as and when required

 

Rotherham Clinical Commissioning Group

-          Established January, 2011 - all Rotherham GP practices part of it

-          CCG Committee currently in place made up of GPs, NHS managers and lay-members

-          Chair of Health and Wellbeing Board had a seat on CCG Committee

-          Received first wave authorisation to assume full responsibility for commissioning majority of healthcare services for local people April, 2013

 

Public Health

-          Local authorities would take on statutory duty for Public Health in April, 2013

-          Rotherham was ahead of the game with Public Health staff now located within the Council whilst the transition took place

-          No decision yet as to the long term structural model locally

-          Directors of Public Health would be jointly appointed between the Local Authority and Public Health England from April, 2013

 

Joint Health and Wellbeing Strategy

-          Set the strategic priorities for collective action to improve the health and wellbeing of local people

-          Demonstrated how the needs and issues identified within the Joint Strategic Needs Statement and other local knowledge would be tackled

-          Supported the Health and Wellbeing Board to tackle the wider determinants of health and wellbeing – such as Housing and Education

-          Enabled commissioners to plan and commission integrated services that met the needs of the whole local community

-          Service providers, commissioners and local voluntary and community organisations would all have an important role to play in identifying and acting upon local priorities

-          Now in implementation phase with 6 workstream leads identified and Performance Management Framework being developed

 

6 Strategic Workstreams

-          Prevention and Early Intervention

-          Aspirations and Expectations

-          Dependence to Independence

-          Healthy Lifestyles

-          Long term Conditions

-          Poverty

 

Performance Management Framework

-          The Board had agreed 6 measures to focus on over the next 12 months each with a suite of Indicators:-

Alcohol

Obesity

Dementia

Smoking

NEETS

Fuel Poverty

 

Local HealthWatch

-          HealthWatch England would be the national voice of patients and the public

-          HealthWatch would replace the current model of Local Involvement Networks (LINks) along with additional functions

-          Local authorities would be required to procure a local HealthWatch by April, 2013

-          Work was well underway in Rotherham to develop commissioning arrangements for a Local HealthWatch and tendering had begun

 

Role of Health Scrutiny

-          The Department of Health consulted on proposed changes and regulations for local authority health scrutiny (July, 2012) which included:-

§  Extended scrutiny to all providers of NHS care whether they were from a hospital, a charity or an independent provider

§  Required organisations proposing substantial Service changes and Scrutiny to publish clear timescale for decision making

§  Required local authorities to take account of the financial and clinical sustainability of Services when considering NHS reconfiguration proposals

§  Sought the help of the NHS Commissioning Board to secure local agreement on some Service reconfigurations

-          New Regulations would come into force in April, 2013

 

Key Areas of Work

-          Obesity Strategy Group (national conference)

-          Rotherham Heart Town

-          Rotherham Tobacco Control Alliance

-          Suicide and Self-harm Prevention

-          Warm Homes, Healthy People/Affordable Warmth/Fuel Poverty

-          Council of Governors, Rotherham Foundation Trust and RDaSH

 

Final Points

-          Rotherham was making excellent progress in meeting the requirements and organisational changes set out in the Health and Social Care Act 2012

-          The local Health and Wellbeing Board had been observed by the Department of Health and positive feedback had been received

-          Development of the local Health and Wellbeing Strategy demonstrated good joint working and collaboration between all partners and there was a real enthusiasm to work together to improve the health and wellbeing of Rotherham people

 

Discussion ensued on the presentation with the following issues raised/clarified:-

 

·           There were many determinants for health and wellbeing of which 1 was NEETS.  NEETS was a priority for the Rotherham Partnership Board which the Health and Wellbeing Board sat alongside

 

·           Some of the Boards across the country were using the Marmot Policy objectives as their broad Framework

 

·           It was clarified that the Public Health grant was £13,790,000 for 2013/14 and £14,176,000 for 2014/15 equating to £53 per head of the population or 2013/14

 

·           4 tests the NHS Commissioning Board was required to take heed of in any proposal for change:-

Strong and efficient public engagement

Consultation with current and prospective need for public choice

Clear clinical evidence base for the change

Support for proposals from clinical commissioners

 

·           Not just about finance and the 4 tests had to be strictly adhered to

 

·           The CCG had received early authorisation and had experienced officers to support it from the former Primary Care Trust.  In comparison with other areas, Rotherham was ahead of the game.  The leadership in the GP community was clear and there was confidence in it.  There was another important group that sat beneath it that brought in the other practices that made recommendations to the CCG

 

·           There were good arrangements in Rotherham but it was responsible for commissioning a massive amount of public money and, therefore, required good liaison between it and the Board

 

·           Peformance Management Framework to be discussed at the next Board meeting.  It had to be measureable for each of the 6 Priorities