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Effective Representation for Health and Wellbeing
Liam HughesChair, Oldham HWBB and Associate
of the LGA and Networkidea
The New Landscape for Health and Wellbeing
• HealthWatch, CQC (and Monitor)• Overview and Scrutiny• NHS Commissioning Board• Clinical Commissioning Groups• Public Health England• Transfer of (some) public health staff and functions to local councils• Health and Wellbeing Boards
Health and Wellbeing Boards- the policy ambition!
People and Places Better Outcomes
JSNA
Service Integration
Health and Wellbeing
ProductivityEfficiency
Health and Wellbeing Boards
• Committees of the Council – like none other!• Strategic leadership for the health and wellbeing
system• Partners – Councillors, GPs, Statutory Officers
and HealthWatch plus …• Joint Strategic Needs Assessments and Health
and Wellbeing Strategies• Informing, Influencing, Directing• “Holding to Account”
Improving health, reducing health inequalities
• Wider determinants of health
• Lifestyles and health behaviours
• Services – access, quality, integration
• Health protection and resilience
Board Effectiveness
• Leadership and partnership• Strategies, priorities, needs and assets• Community engagement and communications• Co-production (?)• Governance and accountability• Impact and outcomes
The Oldham Story
• A Co-operative Community• Localities and a life-course approach • 3 Strategic Themes: - Giving every child the best start in life - Living, learning and working well - Ageing well and later-life care
HealthWatch in Oldham
• Individual complaints and advocacy- Greater Manchester
• Information, advice and advocacy- Gaddum
• Influencing- Gaddum
Some emerging issues (1)HealthWatch
• “HealthWatch : caught in the middle?” -corporate member of board - independent voice for local people• Independent yet established by council• Not about individual cases or conditions• “Being a critical friend” – a skilled
performance!• Who will be most suited?
Some emerging issues (2)CVF Sectors
• Multiple voices - complexity • Experience and information about assets and needs• Commitment, passion and energy• Resources • Co-production: - involvement in the design phase - reviewing effectiveness
Making the jigsaw fit at local level: HWBBs, CCGs, Community, Voluntary and Faith
Sectors, Providers and other partners….