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‘Grasping the Nettle’

Cllr. Jonathan OwenDeputy LeaderEast Riding of Yorkshire Council

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East Riding of Yorkshire

In context

• One of largest Unitaries by area – almost 1000 sq.miles• 22.7% of the population is aged over 65• Very low BME population• Highest inward migration over past 8 years nationally• Above average net out migration of young adults• Low population density • Hidden deprivation• No large centre of population – 168 Town/Parish Councils• Market town economy• Long coastal strip

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Life Expectancy

YEARS

“Dr Smith—The Councillor will see you now.”

Councillor Surgery

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MARMOT REVIEW

A. Give every child the best start in life

B. Enable all children, young people and adults to maximise their capabilities and have control over their lives

C. Create fair employment and good work for all

D. Ensure healthy standard of living for all

E. Create and develop healthy and sustainable places and communities

F. Strengthen the role and impact of ill health prevention

6 Policy Objectives

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WIDER DETERMINANTS UNDER LOCAL AUTHORITY INFLUENCE

•ACCESS TO SERVICES•HOUSING•PLANNING•ENVIRONMENT•EDUCATION AND TRAINING•CULTURAL SERVICES

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• Transfer of Public Health• Clinical Commissioning

Groups• New Strategic Health

Authorities• Abolition of PCT’s• Healthwatch• Health and Wellbeing Boards

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What is Health and Wellbeing?

Financial security &

employment

TheEnvironment

Education

Recreation &Leisure

SocialBelonging

Physical &Mental Health

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A Health & Wellbeing Strategy – WHY?

Liberating the NHS and the New Health & Social Care Bill says…….

• To ensure proper scrutiny and public engagement in Commissioning Plans & Health & Wellbeing Strategy

• Promote effective joint working• Promote service integration• Improve the quality of health services and

health outcomes • Reduce inequalities

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Health and Wellbeing Board Role

• Assess the needs of the local population and lead the Joint Strategic Needs Assessment (JSNA) process

• Develop a high level Health and Wellbeing Strategy for the area based on the priorities emerging from the needs assessment and national health and care priorities

• Promotion of integration and partnership working across all relevant areas

• Support joint commissioning and pooled budget arrangements

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Health and Wellbeing Strategy

Directly informs commissioning of :

• Acute health care services• Community health and care services• Adult care services• Children’s health and care services• Public health interventions

• BUT should also influence deployment of resources for: housing, transport, cultural services, public protection, planning, etc

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Health and Wellbeing Strategy

• Also relies on therefore robust strategies for the wider determinants of health:

• Economic development strategy• Children’s plan• Crime and disorder plan• Transport plan • Housing strategy• Cultural strategy

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Our Vision for our Health & Well Being Strategy

Better care, more locally, within budget through transformation

Everyone has to do things differently

GPs

Patients

Hospitals

Residents

Health & Social Care

professionals

Councils

LSP

BUT

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What have we done

• Shadow Health and Wellbeing board established

• Formed relationships – CCG/LSP/Senior Officers

• RAG (resource allocation group)• Elected member involvement with CCG

locality leads• Workshops – joint with health• Agreed joint ‘vision’ HWBB and CCG.• Agreed our priority areas• Use of LSP sub groups

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TWO TIER AUTHORITIES

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Three key words

•LEAD•COLLABORATE•ENGAGE

David BehanDirector General Social Care, local Government & Care

Partnerships, Department of Health. Presentation Tuesday 24th. April