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Where we are now: Health and wellbeing

Chris Paveley Chair, NHS North Essex. Where we are now: Health and wellbeing. What’s the context?. Overall aim to tackle: Variation in quality & performance in NHS Gaps in services Avoidable ill-health Health outcomes Using: Clinicians taking the lead - financial responsibility

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Where we are now: Health and wellbeing

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  1. Chris Paveley Chair, NHS North Essex Where we are now:Health and wellbeing

  2. What’s the context? Overall aim to tackle: • Variation in quality & performance in NHS • Gaps in services • Avoidable ill-health • Health outcomes Using: • Clinicians taking the lead - financial responsibility • Stronger patient voice – “no decision about me without me” • Market forces - choice and competition Main points of Health & Social Care Bill

  3. What’s the context? Main points of Health and Social Care Bill

  4. National Commissioning Board • National Commissioning Board with Lay Chair and members • Possibility one NCB local office for Essex with two locations • Local NCB will Commission Directly • Specialist services • Primary Health Care • Prisons • Local Office reports to one of 4 Regional Offices who then reports to the national Board

  5. Clinical Commissioning Groups • Three CCGs in North Essex • Based loosely around the old PCT areas • Possibility four CCGs in South Essex • Each CCG will have its own Board with either the Chair or CEO (Accountable Officer) or both being GPs • Each CCG will have Lay Membership on the board

  6. Local Authority • Health & Wellbeing Board • Extensive membership including Councillors, GPs (CCG), Providers, Public Health and the NCB. • System overview • Joint strategic needs assessment • Health and wellbeing strategy • Requires CCGs to submit Plans • Public Health responsibility • In conjunction with the new National Public Health Agency

  7. Commissioning Support Service • Provides Commissioning and Corporate Business Support to all the CCGs within Essex. • Information & technical support • CCGs have the choice as to where to purchase these services(for the next 3 years have committed to the local CSS.) • CCGs can purchase part or all services provided, it is their choice.

  8. What’s the context? In shadow in north Essex from 1 April, for example: • 3 North Essex CCGs implementing integrated health & social care plans • Public health with County Council • Health and Wellbeing Board – joint strategic needs assessment and agreed strategic priorities: • Urgent care • Older people • Long term conditions • Service providers signed up to priorities and plans

  9. What’s different this time? • Clinicians in the driving seat • Agreed single strategic framework • Integrated health and social care - Health and Wellbeing Board • Community budget pilot: • Legal and financial barriers removed • Personal budgets • Common objectives and common accountability • The prize is in sight!

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