Nottinghamshire Health & Wellbeing Board Peer Challenge

Cathy QuinnAssociate Director of Public Health

Peer Challenge Process

• Panel of external peers with relevant knowledge• 4 headline questions– Clear approach to improving health and wellbeing– Effective leadership and governance system– Maximum use of skills, resources and commitment– Evaluating impact and accountability to public

• Interviews and Focus Groups• Feedback triangulated

Feedback

• Examples of good practice• Areas for consideration• 3 key themes– Strategic Leadership– Communication and engagement– Governance and support

HWB should be providing a clear lead across the system and a clear vision of where the health & social care community needs to travel to

Definitely not harnessing the full potential of

the HWB

Strategic Leadership

Too many priorities

Developed relationships and trust across different member

groups

Done a rattling good job in incredibly difficult

circumstances

An enabler not a system leader

The Board has refined and shaped the

strategy

Communication & EngagementThe workshops are where some

of the real benefits are

A developing culture of inclusivity

Local strategy consultation events were a great example of

shared leadershipWhere are

the providers in this?

The HWB summaries help share the Boards business

The champions are a champion

idea

Excellent Healthwatch leadership

Governance & Support“ All in boats going in the same direction, same river

but would be better in the same boat ”

Summary• Nationally, no Board has fully achieved

potential. Common themes identified• Boards are working well where there is:– Passion, ambition, drive and leadership– Strong foundation of partnership working– Trust, respect and collaboration– Openness to learning and challenge– Engagement with local people and communities– Shared understanding of structures & governance

Achievements• Building firm foundation of trust and respect

for collective strategic leadership• Inclusive approach to developing strategic

priorities• Good engagement through workshops &

stakeholder network• Emerging champion role

Practical ApplicationShared

understanding of Finances

Better Care Fund

Dementia

Child and Adolescent

Mental Health

Tobacco declaration

Strengthen focus on Mental Health

Care Act

Domestic Violence

Housing

Health and Wellbeing

Board