Health and Wellbeing Development

1. Health and Wellbeing Development Martin Wilson Head of Community Engagement - Public Health Directorate Lincolnshire County Council  The Board, the Assessment and the Strategy

2. Contents • Health and Wellbeing Board • Joint Strategic Needs Assessment (JSNA) • Joint Health and Wellbeing Strategy (JHWS) • LINk to Healthwatch

3. Health and Wellbeing Board • Background and purpose: • Health and Social Care reform agenda • Three key things: • Start a Joint Strategic Needs Assessment (JSNA) and agree what is imnportant; • Make a Joint Health and Wellbeing Strategy (JHWS), using things found in the JSNA; • Work together with the NHS and local government

4. Health and Wellbeing Board • Development of the Board in Lincolnshire • Shadow committee • Started March 2011 • Members will include LINk/Healthwatch, councillors, officers and GPs • Looking at improving JSNA, then working to change JSNA priorities into themes of the JHWS • May 2012 – Look at commissioning plans

5. Joint Strategic Needs Assessment • Background • Look at the needs of people around issues they say are important • Should include views from users, patient and community • Need to produce this assessment since 2007 • JSNA helps to tell the NHS what needs to be done http://shared.research-lincs.org.uk/joint-strategic-needs-assessment.aspx

6. Joint Strategic Needs Assessment • What does it tell us? • The number of people is estimated to be 703,000, and this should rise to 838,200 by 2033 • 12% of people living in Lincolnshire now live within the 20% most deprived areas of England • Females are expected to live to be 82 years and males to 78 years http://shared.research-lincs.org.uk/joint-strategic-needs-assessment.aspx

7. Joint Strategic Needs Assessment • What needs to be done • JSNA to happen every year; • More people to take part and share information; • Produce JSNA report every year; • Support the report with experts talking about certain things; • Focus on health inequalities; • Website needed for JSNA information http://shared.research-lincs.org.uk/joint-strategic-needs-assessment.aspx

8. Joint Strategic Needs Assessment • JSNA identified priorities • Promoting healthy lifestyles • Improving health and wellbeing for older people • Delivering high quality care for ill health • Improving health and reducing health inequalities for children • Reducing the number of people who are able to work http://shared.research-lincs.org.uk/joint-strategic-needs-assessment.aspx

9. Joint Health and Wellbeing Strategy • How this will be developed • Five themes (based on JSNA priorities) • Each theme has at least one penson from the Health and Wellbeing Board • A Public Health Consultant (Assistant Director) leads on the development of each theme • Each theme uses evidence from JSNA to consult and agree priorities and actions • Five year piece of work (2013 to 2018) looked at every year by the Health and Wellbeing Board

10. Joint Health and Wellbeing Strategy • Timescales • December 2011/January 2012 – Individual themes consult and tell priorities to the Health and Wellbeing Board • March 2012 – Draft strategy is presented in to the Health and Wellbeing Board • March 2012 to June 2012 – Consultation • July 2012 – Sign off strategy • September 2012 – Strategy is used to say what will happen 2013/14 and beyond

11. LINk - HealthWatch • In order to strengthen the voice of patients Existing Local Involvement Networks (LINks) will become local HealthWatch organisations. • Nationally; HealthWatch England will be a new independent consumer champion within the Care Quality Commission • Locally; delivered by councils, local HealthWatch sit on Health and Wellbeing boards, and can report concerns aboutquality of local services to HealthWatch England

12. Local Healthwatch • Will talk to people about their health and social care needs to make sure that services do what they say and have done so far • Will provide a single point of contact, by connecting people to the right NHS and social care advice and advocacy services • Will help people to find information so they can then choose the services they need and require • Will support people to speak out and give those who want it, an opportunity to get more involved in a range of different ways

13. Healthwatch Functions • Carry on doing the work the LINk do, • Provide information to support patient choice: • Have a representative on Local Health & Wellbeing boards • Possibly provide complaints advocacy (ICAS):

14. Healthwatch Will • Be in place in October 2012, building on the current LINks • Be an organisation in its own right, and no longer a network • Have ‘members’ who can be paid • Have participants as well as ‘members’ • Have to produce its own annual accounts

15. Healthwatch May • Appoint its own employees. • Arrange for an employee (or member or committee) or some other person to do things for them • Have approximately 8-9 members of staff per LHW (some of these will possibly be from PCT PALs departments and some from existing ICAS offices) • Be a ‘high-street’ presence and a body in its own right

16. How To Get Involved? • JSNA • David.stacey@lincolnshire.gov.uk • 01522 554017 • JHWS • David.stacey@lincolnshire.gov.uk • 01522 554017 • LINk & Healthwatch • Rob.hewis@lincolnshire.gov.uk • 01522 554253